LEWIS COUNTY PRIMARY CARE CENTER INC. NPI 1275139453

NPI Information

  • NPI: 1275139453
  • Provider Name: LEWIS COUNTY PRIMARY CARE CENTER, INC.
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Address: 910 KENTON STATION DR
    MAYSVILLE, KY
    ZIP 41056
  • Phone: (606) 956-0188

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NPI Details

LEWIS COUNTY PRIMARY CARE CENTER, INC. is a federally qualified health center (fqhc) clinic center in Maysville, KY. LEWIS COUNTY PRIMARY CARE CENTER, INC. NPI is 1275139453. The provider is registered as an organization entity type.

The provider's business location address is:

910 KENTON STATION DR
MAYSVILLE, KY
ZIP 41056-613
Phone: (606) 956-0188

The provider's authorized official is Chad Erwin Evans .
The authorized official title is Cco and has the following contact phone number (606) 956-0188.

The enumeration date for this NPI number is 12/11/2020 and was last updated on 12/11/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
131000268MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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