Lewis County Primary Care Center, Inc.

NPI #1891083036 in South Shore, Kentucky

Provider Information

NPI Number
1891083036
Entity Type
Organization
Organization Name
Lewis County Primary Care Center, Inc.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Jul 20, 2011
Last Updated
Jul 20, 2011

Practice Location

Address
142 DEPOT STREET
ZIP Code
41175
Phone
(606) 796-3029

Authorized Official

Name
JERRY UGRIN
Title
CEO
Phone
(606) 796-3029

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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