Organization
PRIMARY HEALTH CARE, PLLC
Active
Organization
PRIMARY HEALTH CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTHA MOORE CLINTON FNP-BC (OWNER / OPERATOR)
(662) 560-4313
Entity
Organization
Contact information
Practice address
565 N ROBINSON ST, SENATOBIA, MS 38668-2118
(662) 560-4313
(662) 560-4383
Mailing address
565 N ROBINSON ST, SENATOBIA, MS 38668-2118
(662) 560-4313
(662) 560-4383
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
R672491
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116700
—
MS
01
—
11618104
CAQH
MS
01
—
R672491
LICENSE NUMBER
MS
01
—
S19627
UPIN
MS
Enumeration date
08/29/2008
Last updated
03/07/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up