LEWIS COUNTY PRIMARY CARE CENTER, INC.; NPI #1790420214

Contact Information

LEWIS COUNTY PRIMARY CARE CENTER, INC.

45 MCDOWELL STREET
MT. OLIVER, KY 41064

Phone: 606-698-6160
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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NPI Profile & details for LEWIS COUNTY PRIMARY CARE CENTER, INC.

NPI Number 1790420214

LBN Legal business name LEWIS COUNTY PRIMARY CARE CENTER, INC.

Authorized official JERRY UGRIN - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/29/2022

Last updated 04/29/2022 - About 4 years ago

Identifiers

Medicaid

31000268

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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