Primaryplus | |
1551 Augusta Chatham Rd Augusta KY 41002-9224 | |
(606) 756-2117 | |
(606) 756-2135 |
Full Name | Primaryplus |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1551 Augusta Chatham Rd, Augusta, 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 |
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Primaryplus Po Box 550 Vanceburg KY 41179-0550 Ph: (606) 796-3029 | Primaryplus 1551 Augusta Chatham Rd Augusta KY 41002-9224 Ph: (606) 756-2117 |
NPI Number | 1184933632 |
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Provider Enumeration Date | 10/01/2010 |
Last Update Date | 10/01/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184933632 | NPI | - | NPPES |
31000268 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 700041 (Kentucky) | Primary |