| Lewis County Primary Care Center, Inc. | |
|
1 W Mcdonald Pkwy Maysville KY 41056-1164 | |
| (606) 956-0136 | |
| (833) 972-1620 |
| Full Name | Lewis County Primary Care Center, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1 W Mcdonald Pkwy, Maysville, 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: () - | Lewis County Primary Care Center, Inc. 1 W Mcdonald Pkwy Maysville KY 41056-1164 Ph: (606) 956-0136 |
| NPI Number | 1619719325 |
|---|---|
| Provider Enumeration Date | 06/12/2024 |
| Last Update Date | 06/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619719325 | 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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