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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.

physician-icon Basic Information

Practice Location 211 Ky 59, Vanceburg, KY 41179-7647, US
Practice Location Phone606-796-3029
Practice Location Fax606-796-6221
Legal Business NameLEWIS COUNTY PRIMARY CARE CENTER, INC
Other Organization NameFITNESS FIRST & REHAB CENTER
Other Organization Name TypeDoing Business As Name
NPI ?1043336506
Entity TypeOrganization
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).

specialty-icon Specialties & Licenses of Lewis County Primary Care Center, Inc

SpecialtySpecializationLicenseLicense State
Clinic/CenterFederally Qualified Health Center (FQHC) 100989Kentucky

legacy-id-icon Legacy Provider IDs of Lewis County Primary Care Center, Inc

Provider IdIssuer StateIssuer TypeIssuer
31000268KentuckyMedicaid

official-icon 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/PositionCEO
Authorized Official Phone Number606-796-3029