Organization
LEWIS COUNTY PRIMARY CARE CENTER, INC.
Active
Other names
PrimaryPlus
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY G UGRIN (CEO)
(606) 796-3029
Entity
Organization
Contact information
Practice address
211 KY 59, VANCEBURG, KY 41179-9719
(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
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
700041
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0864613
—
OH
05
—
31000268
—
KY
Enumeration date
05/16/2006
Last updated
01/09/2025
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