Lewis County Primary Care Center, Inc. | |
211 Ky 59 Vanceburg KY 41179-9719 | |
(606) 796-3029 | |
(606) 796-6221 |
Full Name | Lewis County Primary Care Center, Inc. |
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Speciality | Clinic/Center |
Location | 211 Ky 59, Vanceburg, Kentucky |
Authorized Official Name and Position | Jerry G 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 |
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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 41179-9719 Ph: (606) 796-3029 |
NPI Number | 1457303802 |
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Provider Enumeration Date | 05/16/2006 |
Last Update Date | 01/09/2025 |
Medicare PECOS PAC ID | 1153311774 |
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Medicare Enrollment ID | O20040515000278 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457303802 | NPI | - | NPPES |
31000268 | Medicaid | KY | |
0864613 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 700041 (Kentucky) | Primary |
Provider Name | Timothy T Grosser |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215905708 PECOS PAC ID: 1254237993 Enrollment ID: I20031211000857 |
Provider Name | Gary Michael Coleman |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1124125224 PECOS PAC ID: 8820087026 Enrollment ID: I20040512000092 |
Provider Name | Casey R Keeton |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1164529269 PECOS PAC ID: 9931180809 Enrollment ID: I20040526001184 |
Provider Name | Betsy Bailey |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962474510 PECOS PAC ID: 0244213346 Enrollment ID: I20040610000258 |
Provider Name | Patti S Poczatek |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871565549 PECOS PAC ID: 8527042860 Enrollment ID: I20040615001145 |
Provider Name | Michael D Dunaway |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871565580 PECOS PAC ID: 3678547197 Enrollment ID: I20040820001070 |
Provider Name | Rebecca Hogge |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1477598183 PECOS PAC ID: 9638128960 Enrollment ID: I20050113000675 |
Provider Name | William C Denham |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760434203 PECOS PAC ID: 6002861457 Enrollment ID: I20050317000953 |
Provider Name | Peter T Egan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497856355 PECOS PAC ID: 5193772739 Enrollment ID: I20050406000905 |
Provider Name | Melissa A Redmond |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659344901 PECOS PAC ID: 2567401235 Enrollment ID: I20050502001013 |
Provider Name | Laura L Shower |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1336111228 PECOS PAC ID: 6901842111 Enrollment ID: I20050628000959 |
Provider Name | Deborah M Weber |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1275604803 PECOS PAC ID: 6204856164 Enrollment ID: I20051207000053 |
Provider Name | Audrey S Spencer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548291230 PECOS PAC ID: 5395837280 Enrollment ID: I20070828000213 |
Provider Name | Nancy Guttman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477551596 PECOS PAC ID: 5092808139 Enrollment ID: I20070906000457 |
Provider Name | Kathryn J Egan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063584472 PECOS PAC ID: 1456447176 Enrollment ID: I20071011000027 |
Provider Name | Rae J Jessee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154316065 PECOS PAC ID: 8426118837 Enrollment ID: I20081114000553 |
Provider Name | Wade Rankin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235166083 PECOS PAC ID: 9638115835 Enrollment ID: I20090122000403 |
Provider Name | Kathryn Young |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164668349 PECOS PAC ID: 8325102114 Enrollment ID: I20090122000423 |
Provider Name | Stacy Hasenauer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952635260 PECOS PAC ID: 1355489261 Enrollment ID: I20091113000452 |
Provider Name | Ramon Barcelona |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437157815 PECOS PAC ID: 6800843665 Enrollment ID: I20100226000430 |
Provider Name | Dana Tucker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407173446 PECOS PAC ID: 7517098619 Enrollment ID: I20100707000263 |
Provider Name | Grant L Stevenson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811969587 PECOS PAC ID: 7719011980 Enrollment ID: I20100810001157 |
Provider Name | Muna Hishmeh Vonderheide |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952689598 PECOS PAC ID: 9133391576 Enrollment ID: I20111007000372 |
Provider Name | William R Poczatek |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043283393 PECOS PAC ID: 0547433062 Enrollment ID: I20111028000359 |
Provider Name | Cathy Tackett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912130048 PECOS PAC ID: 7315084795 Enrollment ID: I20111229000677 |
Provider Name | James W Morris |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1255324471 PECOS PAC ID: 2365489663 Enrollment ID: I20120206000898 |
Provider Name | Christopher Fennell |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1437133535 PECOS PAC ID: 8325137789 Enrollment ID: I20120514000188 |
Provider Name | Christina Staggs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346515988 PECOS PAC ID: 9335300490 Enrollment ID: I20120515000155 |
Provider Name | Samantha Olzeski |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1396065207 PECOS PAC ID: 9739336116 Enrollment ID: I20120821000484 |
Provider Name | Alissa Parker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508031980 PECOS PAC ID: 1456509975 Enrollment ID: I20120907000020 |
Provider Name | Miranda Diane Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285999615 PECOS PAC ID: 0345498408 Enrollment ID: I20120913000746 |
Provider Name | Kelli Brown |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1275853533 PECOS PAC ID: 3375781164 Enrollment ID: I20130910000324 |
Provider Name | Victoria Lawrence-gilbert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699059345 PECOS PAC ID: 1658515663 Enrollment ID: I20130912000683 |
Provider Name | Sally M Wooten |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558306761 PECOS PAC ID: 1951469881 Enrollment ID: I20131107000971 |
Provider Name | Eugonda Fryman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083020853 PECOS PAC ID: 4486979077 Enrollment ID: I20150202000512 |
Provider Name | Jennifer A Mcroberts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356746176 PECOS PAC ID: 4880848001 Enrollment ID: I20150423000154 |
Provider Name | Shelly Truesdell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861858599 PECOS PAC ID: 4284938192 Enrollment ID: I20160212000337 |
Provider Name | Kellie Richelle Sparks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083062988 PECOS PAC ID: 7618269333 Enrollment ID: I20160715001291 |
Provider Name | Vicki-lea Wilburn |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1144470527 PECOS PAC ID: 7012295587 Enrollment ID: I20161103001764 |
Provider Name | Kristen O Kusterer |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1750649398 PECOS PAC ID: 9638452394 Enrollment ID: I20170705002606 |
Provider Name | Tyler Elam |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144646209 PECOS PAC ID: 1557665437 Enrollment ID: I20170822003385 |
Provider Name | Kristen N Murphy |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568876357 PECOS PAC ID: 7012280639 Enrollment ID: I20170901002422 |
Provider Name | Gary W Zornes |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1932649639 PECOS PAC ID: 3971888512 Enrollment ID: I20171010002003 |
Provider Name | Kayla Marie Linville |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649781691 PECOS PAC ID: 3577824796 Enrollment ID: I20180305002103 |
Provider Name | Lindy Kuehner Nettleton |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447662077 PECOS PAC ID: 1557635273 Enrollment ID: I20180723002799 |
Provider Name | Allison Landreth |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134788227 PECOS PAC ID: 7416283379 Enrollment ID: I20190730003140 |
Provider Name | Ashley Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053911065 PECOS PAC ID: 1456762897 Enrollment ID: I20201116002399 |
Provider Name | Heather Wells |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629688973 PECOS PAC ID: 5991116170 Enrollment ID: I20201118002651 |
Provider Name | Shelby Anne Hill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053970574 PECOS PAC ID: 9436562246 Enrollment ID: I20210114002203 |
Provider Name | Carissa Kirk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609432202 PECOS PAC ID: 9537595038 Enrollment ID: I20210126001721 |
Provider Name | Holly Frances Dunaway |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356934426 PECOS PAC ID: 7810302908 Enrollment ID: I20210223002867 |
Provider Name | Rosella Dawn Jordan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710577960 PECOS PAC ID: 9234548934 Enrollment ID: I20210510002803 |
Provider Name | Lee A Parker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194347476 PECOS PAC ID: 3870915283 Enrollment ID: I20210527001839 |
Provider Name | Shelby Richmond |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326617390 PECOS PAC ID: 1456753789 Enrollment ID: I20210709000559 |
Provider Name | Patrick Gregory |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598331282 PECOS PAC ID: 7719381912 Enrollment ID: I20210810003848 |
Provider Name | Emily Huber Jessie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851066385 PECOS PAC ID: 6305242025 Enrollment ID: I20210907002436 |
Provider Name | Danielle K Arthur |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003477118 PECOS PAC ID: 1658607684 Enrollment ID: I20211005002549 |
Provider Name | Amanda Duke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790431179 PECOS PAC ID: 9032504998 Enrollment ID: I20220311002195 |
Provider Name | Jesse W Heard |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609111749 PECOS PAC ID: 9234417593 Enrollment ID: I20221014001889 |
Provider Name | Ashley Gulley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942925425 PECOS PAC ID: 2860869757 Enrollment ID: I20221107000798 |
Provider Name | Stephanie Brashear |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245539998 PECOS PAC ID: 2769895200 Enrollment ID: I20221209001958 |
Provider Name | Michael Browning |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366132375 PECOS PAC ID: 7810355807 Enrollment ID: I20230623000778 |
Provider Name | Travis Bentz |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871918607 PECOS PAC ID: 3678935327 Enrollment ID: I20230814001016 |
Provider Name | Karen Mckenzie |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1932612009 PECOS PAC ID: 8921366972 Enrollment ID: I20231012002299 |
Provider Name | Kelsey Lucas |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1780360123 PECOS PAC ID: 2567815533 Enrollment ID: I20240125002687 |
Provider Name | Kayla Wells |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548038052 PECOS PAC ID: 1456799246 Enrollment ID: I20240328003567 |
Provider Name | Morgan Elkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801670674 PECOS PAC ID: 8820442924 Enrollment ID: I20240613002033 |
Provider Name | Zachary Cavins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386492882 PECOS PAC ID: 4284179474 Enrollment ID: I20240711003609 |
Provider Name | Ian Kinder |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467031849 PECOS PAC ID: 9739562224 Enrollment ID: I20250113002308 |
Provider Name | Caitlin Overstreet |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508684689 PECOS PAC ID: 0143759167 Enrollment ID: I20250121001832 |
Lewis County Primary Care Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare 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 |