| Lewis County Primary Care Center, Inc. | |
|
432 16th St Ashland KY 41101-7693 | |
| (606) 324-7184 | |
| Not Available |
| Full Name | Lewis County Primary Care Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 432 16th St, Ashland, Kentucky |
| Authorized Official Name and Position | Jerry Ugrin (CEO) |
| Authorized Official Contact | 6067963029 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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. 432 16th St Ashland KY 41101-7693 Ph: (606) 324-7184 |
| NPI Number | 1902206857 |
|---|---|
| Provider Enumeration Date | 08/28/2014 |
| Last Update Date | 04/16/2019 |
| Medicare PECOS PAC ID | 1153311774 |
|---|---|
| Medicare Enrollment ID | O20141110000693 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902206857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 700041 (Kentucky) | Primary |
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