| NPI | 1588414973 |
|---|---|
| Doing Business As | PRIMARYONE HEALTH |
| Entity Type | Organization |
| Authorized Contact | JOHNETTA RIDGEWAY Provider Enrollment Specialist 614-859-1906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2024-05-09 |