Organization
LEWIS COUNTY PRIMARY CARE CENTER, INC.
Active
Parent organization
LEWIS COUNTY PRIMARY CARE CENTER, INC.
Other names
Bracken County School-based Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEWIS COUNTY PRIMARY CARE CENTER, INC.
Authorized official
CHAD ERWIN EVANS (CCO)
(606) 956-0188
Entity
Organization
Contact information
Practice address
106 POWELL ST., BROOKSVILLE, KY 41004
(606) 402-2075
Mailing address
PO BOX 550, VANCEBURG, KY 41179-0550
(606) 956-0188
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31000268
—
KY
Enumeration date
01/20/2023
Last updated
01/20/2023
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