Primaryplus | |
432 16th St Ashland KY 41101-7693 | |
(606) 324-7184 | |
Not Available |
Full Name | Primaryplus |
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Speciality | Clinic/Center |
Location | 432 16th St, Ashland, 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 |
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Primaryplus Po Box 550 Vanceburg KY 41179-0550 Ph: (606) 796-3029 | Primaryplus 432 16th St Ashland KY 41101-7693 Ph: (606) 324-7184 |
NPI Number | 1902206857 |
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Provider Enumeration Date | 08/28/2014 |
Last Update Date | 04/16/2019 |
Medicare PECOS PAC ID | 1153311774 |
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Medicare Enrollment ID | O20141110000693 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902206857 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 700041 (Kentucky) | Primary |
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