Organization
LEWIS COUNTY PRIMARY CARE CENTER, INC.
Active
Other names
PrimaryPlus
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY G UGRIN (CEO)
(606) 796-3029
Entity
Organization
Contact information
Practice address
927 KENTON STATION DR, MAYSVILLE, KY 41056-9609
(606) 796-3029
(606) 796-6221
Mailing address
PO BOX 550, VANCEBURG, KY 41179-0550
(606) 796-3029
(606) 796-6221
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
700041
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3015963
—
OH
Enumeration date
01/08/2007
Last updated
04/12/2010
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