| Lewis County Primary Care Center, Inc. | |
|
142 Depot Street South Shore KY 41175 | |
| (606) 796-3029 | |
| (606) 796-6221 |
| Full Name | Lewis County Primary Care Center, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 142 Depot Street, South Shore, 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. 142 Depot Street South Shore KY 41175 Ph: (606) 796-3029 |
| NPI Number | 1891083036 |
|---|---|
| Provider Enumeration Date | 07/20/2011 |
| Last Update Date | 07/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891083036 | NPI | - | NPPES |
| 31000268 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Remedy House Calls Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 37 Christopher Dr, South Shore, KY 41175 Phone: 606-445-0441 | |
Bellefonte Physician Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Us 23 At Indianola Ave., South Shore, KY 41175 Phone: 606-932-3150 |