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PRIMARY HEALTHCARE, PLLC
NPI 1700503182
Clinic/Center - Primary Care in Murray, UT

Active since October 26, 2022CLIA 46D2274287 · Waiver
6095 S FASHION BLVD STE 220, MURRAY, UT 84107(801) 758-8735(801) 769-3991 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 2, 2023, Jan 9, 2023, Oct 26, 2022 (3 updates tracked since 2022).

About Primary Healthcare, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIMARY HEALTHCARE, PLLC (NPI 1700503182) is a healthcare organization registered as a primary care in Murray, Utah and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through December 29, 2026 and lists Kevin Mangum, Ceo/physician, as its authorized official.

NPPES Registry Identity

NPI1700503182
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePRIMARY HEALTHCARE, PLLC
Location Address6095 S FASHION BLVD STE 220Murray, UT 84107-7393
Mailing Address6095 S Fashion Blvd Ste 220Murray, UT 84107-7393 · (801) 758-8735 · Fax (801) 769-3991
Phone(801) 758-8735
Fax(801) 769-3991
Organization SubpartNo
Authorized OfficialKevin MangumCeo/physician · (801) 758-8735
Enumeration DateOctober 26, 2022
Last NPPES UpdateJune 2, 20233 updates tracked since enumeration
NPPES CertifiedJune 2, 2023
✔ NPI 1700503182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
6095 S FASHION BLVD STE 220, Murray, UT 84107
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D2274287

Primary Healthcare · Murray, UT
Active · expires Dec 29, 2026
CLIA Number46D2274287
Laboratory TypePhysician Office
Certificate Effective DateDecember 30, 2024
Certificate Expiration DateDecember 29, 2026
Laboratory DirectorKevin Mangum
Laboratory Phone(801) 758-8735
Laboratory LocationPrimary Healthcare6095 S Fashion Blvd, Ste 220, Murray, UT 84107
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENTISTRY FOR CHILDREN LLC
Dentist (Pediatric Dentistry)
6095 S FASHION BLVD STE 220
MURRAY, UT 84107
Salt Lake County (801) 268-4986
KEVIN MANGUM D.O.
Family Medicine (Sports Medicine)
6095 S FASHION BLVD STE 220
MURRAY, UT 84107
Salt Lake County (801) 758-8735
WHITNEY CORINNE JOHN APRN
Nurse Practitioner (Family)
6095 S FASHION BLVD STE 220
MURRAY, UT 84107
Salt Lake County (801) 758-8735
ROSILEE W BARKER PA C
Physician Assistant
6095 S FASHION BLVD STE 220
MURRAY, UT 84107
Salt Lake County (801) 758-8735

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Primary Healthcare, PLLC's NPI number?

The NPI number for Primary Healthcare, PLLC is 1700503182. It was assigned to this organization in the NPPES registry on October 26, 2022.

Where is Primary Healthcare, PLLC located?

Primary Healthcare, PLLC is located at 6095 S Fashion Blvd Ste 220, Murray, UT 84107. The listed phone number is (801) 758-8735.

What is Primary Healthcare, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Primary Healthcare, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2274287) is associated with this NPI, valid through December 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Primary Healthcare, PLLC accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Primary Healthcare, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Primary Healthcare, PLLC was last updated on June 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.