Organization
LEWIS COUNTY PRIMARY CARE CENTER, INC.
Active
Other names
PrimaryPlus
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY UGRIN (CEO)
(606) 796-3029
Entity
Organization
Contact information
Practice address
432 16TH ST, ASHLAND, KY 41101-7693
(606) 324-7184
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
Enumeration date
08/28/2014
Last updated
04/16/2019
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