Primaryplus | |
142 Depot Street South Shore KY 41175 | |
(606) 796-3029 | |
(606) 796-6221 |
Full Name | Primaryplus |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 142 Depot Street, South Shore, 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 142 Depot Street South Shore KY 41175 Ph: (606) 796-3029 |
NPI Number | 1891083036 |
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Provider Enumeration Date | 07/20/2011 |
Last Update Date | 07/20/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891083036 | NPI | - | NPPES |
31000268 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Remedy House Calls Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 37 Christopher Dr, South Shore, KY 41175 Phone: 606-445-0441 | |
Bellefonte Primary Care, South Shore Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Us 23 At Indianola Ave., South Shore, KY 41175 Phone: 606-932-3150 |