| Lewis County Primary Care Center, Inc. | |
|
910 Kenton Station Dr Maysville KY 41056-9613 | |
| (606) 956-0188 | |
| Not Available |
| Full Name | Lewis County Primary Care Center, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 910 Kenton Station Dr, Maysville, Kentucky |
| Authorized Official Name and Position | Chad Erwin Evans (CCO) |
| Authorized Official Contact | 6069560188 |
| 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) 956-0188 | Lewis County Primary Care Center, Inc. 910 Kenton Station Dr Maysville KY 41056-9613 Ph: (606) 956-0188 |
| NPI Number | 1275139453 |
|---|---|
| Provider Enumeration Date | 12/11/2020 |
| Last Update Date | 12/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275139453 | NPI | - | NPPES |
| 31000268 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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