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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 41179-9719, US
Practice Location Phone606-796-3029
Practice Location Fax606-796-6221
Legal Business NameLEWIS COUNTY PRIMARY CARE CENTER, INC.
Other Organization NamePRIMARYPLUS
Other Organization Name TypeDoing Business As Name
NPI ?1457303802
Entity TypeOrganization
Enumeration Date ? May 16, 2006
Last Update Date ? Oct 16, 2008
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) 700041Kentucky

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

Provider IdIssuer StateIssuer TypeIssuer
31000268KentuckyMedicaid
0864613OhioMedicaid

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 G Ugrin
Authorized Official Title/PositionCEO
Authorized Official Phone Number606-796-3029