Active NPI
Primus Incorporated
- Community/Behavioral Health Agency
- Brooklyn Park, MN
National Provider Identifier
1316494032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 377540
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2138614 | Primus Incorporated | Certificate of waiver | Oct 22, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.