This paper presents an innovative public–private partnership to revive the urban primary health center (UPHC) system of Nagpur City in Maharashtra State, India. From the baseline assessment, the partnership between the Nagpur Municipal Corporation (NMC) and Tata Trusts identified that the low utilization of UPHCs was due to inadequate infrastructure of the health centers, fewer working hours, inadequately trained human resources, and availability of staff only for a short time. A road map consisting of three phases was jointly prepared by NMC and Tata Trusts to improve the quality of service in 26 UPHCs, of which phase 3 is currently underway.