| NPI | 1306431614 |
|---|---|
| Doing Business As | PRIMARYPLUS DENHAM CLINIC |
| Entity Type | Organization |
| Authorized Contact | JERRY UGRIN CEO 606-796-3029 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2021-03-08 |