Organization Active NPI

Primus Incorporated

  • Community/Behavioral Health Agency
  • Brooklyn Park, MN
National Provider Identifier
1316494032
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
377540 Issued in MN
Legal business name
PRIMUS INCORPORATED
Practice address
7309 Kentucky Ave N
Brooklyn Park, MN 55428-1222
Phone
(763) 269-9241
NPI assigned
Sep 10, 2016
Last updated
Jan 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Taiwo Remilekun Obazeluwa-Afolayan, RN
Title
Clinical Administrator
Phone
(763) 732-3729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 377540 MN Primary

Addresses

Primary practice location

7309 Kentucky Ave N
Brooklyn Park, MN 55428-1222

Mailing address

7309 Kentucky Ave N
Brooklyn Park, MN 55428-1222
Phone (763) 732-3729

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2138614Primus Incorporated7309 Kentucky Avenue North, Brooklyn Park, MN 55428Certificate of waiverOct 22, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1316494032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7309 KENTUCKY AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554281222",
            "telephone_number": "763-732-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7309 KENTUCKY AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554281222",
            "telephone_number": "763-269-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMUS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-10",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "OBAZELUWA-AFOLAYAN",
        "authorized_official_first_name": "TAIWO",
        "authorized_official_middle_name": "REMILEKUN",
        "authorized_official_title_or_position": "CLINICAL ADMINISTRATOR",
        "authorized_official_telephone_number": "763-732-3729",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "377540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.