| Lewis County Primary Care Center, Inc | |
|
211 Ky 59 Vanceburg KY 41179-7647 | |
| (606) 796-3029 | |
| (606) 796-6221 |
| Full Name | Lewis County Primary Care Center, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 211 Ky 59, Vanceburg, Kentucky |
| Authorized Official Name and Position | Jerry Ugrin (CEO) |
| Authorized Official Contact | 6067963029 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewis County Primary Care Center, Inc Po Box 550 Vanceburg KY 41179-0550 Ph: (606) 796-3029 | Lewis County Primary Care Center, Inc 211 Ky 59 Vanceburg KY 41179-7647 Ph: (606) 796-3029 |
| NPI Number | 1043336506 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 01/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043336506 | NPI | - | NPPES |
| 31000268 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 100989 (Kentucky) | Primary |
Lewis County Primary Care Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 211 Ky 59, Vanceburg, KY 41179 Phone: 606-796-3029 Fax: 606-796-6221 | |
Fresh Start Health Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 207 Plummers Ln, Vanceburg, KY 41179 Phone: 606-225-8200 Fax: 888-606-7354 | |
Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Hc 75 Box 1005, Vanceburg, KY 41179 Phone: 606-796-0010 Fax: 606-796-0011 |