Lewis County Primary Care Center, Inc
Lewis County Primary Care Center, Inc is a health care provider in Vanceburg, KY. In this page you will find its mailing address, practice location, phone number, specialty etc.
Basic Information
Practice Location | 211 Ky 59, Vanceburg, KY 41179-7647, US |
Practice Location Phone | 606-796-3029 |
Practice Location Fax | 606-796-6221 |
Legal Business Name | LEWIS COUNTY PRIMARY CARE CENTER, INC |
Other Organization Name | FITNESS FIRST & REHAB CENTER |
Other Organization Name Type | Doing Business As Name |
NPI ? | 1043336506 |
Entity Type | Organization |
Enumeration Date ? | Mar 22, 2007 |
Last Update Date ? | Jan 19, 2012 |
Note: NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS). |
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Specialties & Licenses of Lewis County Primary Care Center, Inc
Specialty | Provider Type | Specialization | License | License State |
Clinic/Center | Ambulatory Health Care Facilities | Federally Qualified Health Center (FQHC) | 100989 | Kentucky |
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Legacy Provider IDs of Lewis County Primary Care Center, Inc
Provider Id | Issuer State | Issuer Type | Issuer |
31000268 | Kentucky | Medicaid | |
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Authorized Official of Lewis County Primary Care Center, Inc
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Lewis County Primary Care Center, Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
Authorized Official | Jerry Ugrin |
Authorized Official Title/Position | CEO |
Authorized Official Phone Number | 606-796-3029 |
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