|
| |
|
520 Elizaville Ave Flemingsburg KY 41041-1141 | |
| (606) 845-0028 | |
| (606) 845-0263 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 520 Elizaville Ave, Flemingsburg, 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 |
|---|---|
Po Box 550 Vanceburg KY 41179-0550 Ph: (606) 796-3029 | 520 Elizaville Ave Flemingsburg KY 41041-1141 Ph: (606) 845-0028 |
| NPI Number | 1184749277 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 01/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184749277 | NPI | - | NPPES |
| 0864613 | Medicaid | OH | |
| 31000268 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 700041 (Kentucky) | Primary |
Family Medicine Associates Of Flemingsburg, Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 932 Elizaville Ave, Flemingsburg, KY 41041 Phone: 606-849-3374 Fax: 606-845-0646 | |
Samuel W. Gehring, Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 Energy Rd, Flemingsburg, KY 41041 Phone: 606-845-2931 Fax: 606-849-2750 | |