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 |
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| Practice Location Phone | 606-796-3029 |
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| Practice Location Fax | 606-796-6221 |
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| Legal Business Name | LEWIS COUNTY PRIMARY CARE CENTER, INC |
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| Other Organization Name | FITNESS FIRST & REHAB CENTER |
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| Other Organization Name Type | Doing Business As Name |
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| NPI ? | 1043336506 |
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| Entity Type | Organization |
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| Enumeration Date ? | Mar 22, 2007 |
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| Last Update Date ? | Jan 19, 2012 |
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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 |
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| 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 |
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| 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 |
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| Authorized Official Title/Position | CEO |
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| Authorized Official Phone Number | 606-796-3029 |
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