| NPI | 1891083036 |
|---|---|
| Doing Business As | PRIMARYPLUS |
| Entity Type | Organization |
| Authorized Contact | JERRY UGRIN CEO 606-796-3029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2011-07-20 |