Organization Active NPI

Primary Healthcare Solutions, Inc

  • Family Nurse Practitioner
  • Glen Carbon, IL
National Provider Identifier
1922514207
Registry record updated Dec 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209-006759 Issued in IL
Legal business name
PRIMARY HEALTHCARE SOLUTIONS, INC
Practice address
17 Junction Dr # 271
Glen Carbon, IL 62034-4300
Phone
(618) 803-8259
NPI assigned
Dec 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2017

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

Authorized official

Name
Jami Mayhew, FNP
Title
President
Phone
(618) 803-8259

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 209-006759 IL Primary

Addresses

Primary practice location

17 Junction Dr # 271
Glen Carbon, IL 62034-4300

Mailing address

17 Junction Dr # 271
Glen Carbon, IL 62034-4300

National Provider Directory

National Provider Directory

Locations

903 N Moreland Rd
Bethalto, IL 62010
Phone (618) 417-1887

312 Mechanical Dr
East Alton, IL 62024
Phone (618) 717-0820

241 Magnolia Dr
Glen Carbon, IL 62034
Phone (618) 288-1863

17 Junction Dr
#271
Glen Carbon, IL 62034
Phone (618) 803-8259

17 Junction Dr
Ste 271
Glen Carbon, IL 62034

750 Weber Rd
O Fallon, IL 62269
Phone (618) 632-9817

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513814400000",
    "number": "1922514207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 JUNCTION DR # 271",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620344300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 JUNCTION DR # 271",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620344300",
            "telephone_number": "618-803-8259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HEALTHCARE SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-21",
        "last_updated": "2017-12-21",
        "status": "A",
        "authorized_official_last_name": "MAYHEW",
        "authorized_official_first_name": "JAMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-803-8259",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209-006759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Carbon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.