| Lewis County Primary Care Center Inc. | |
|
1551 Augusta Chatham Rd Augusta KY 41002-9224 | |
| (606) 756-2117 | |
| (606) 756-2135 |
| Full Name | Lewis County Primary Care Center Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1551 Augusta Chatham Rd, Augusta, 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. 1551 Augusta Chatham Rd Augusta KY 41002-9224 Ph: (606) 756-2117 |
| NPI Number | 1184933632 |
|---|---|
| Provider Enumeration Date | 10/01/2010 |
| Last Update Date | 10/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184933632 | NPI | - | NPPES |
| 31000268 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 700041 (Kentucky) | Primary |