| Primaryplus | |
|
927 Kenton Station Dr Maysville KY 41056-9609 | |
| (606) 759-5331 | |
| (606) 759-5363 |
| Full Name | Primaryplus |
|---|---|
| Speciality | Clinic/Center |
| Location | 927 Kenton Station Dr, Maysville, 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 |
|---|---|
| Primaryplus Po Box 550 Vanceburg KY 41179-0550 Ph: (606) 796-3029 | Primaryplus 927 Kenton Station Dr Maysville KY 41056-9609 Ph: (606) 759-5331 |
| NPI Number | 1538284401 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 09/23/2010 |
| Medicare PECOS PAC ID | 1153311774 |
|---|---|
| Medicare Enrollment ID | O20100726000097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538284401 | NPI | - | NPPES |
| 2625163 | Medicaid | OH | |
| 31000268 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 700041 (Kentucky) | Primary |
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