LEWIS COUNTY PRIMARY CARE CENTER INC NPI 1285254458

NPI Information

NPI: 1285254458
Provider Name: LEWIS COUNTY PRIMARY CARE CENTER INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 18D0324859

Address:
100 BELLEFONTE DR
GRAYSON, KY
ZIP 41143
Phone: (606) 474-0669
Get Directions

LEWIS COUNTY PRIMARY CARE CENTER INC is a federally qualified health center (fqhc) clinic center in Grayson, KY. LEWIS COUNTY PRIMARY CARE CENTER INC NPI is 1285254458. The provider is registered as an organization entity type.

The provider's business location address is:

100 BELLEFONTE DR
GRAYSON, KY
ZIP 41143-820
Phone: (606) 474-0669
Fax: (606) 474-0376

The provider's authorized official is Jerry Ugrin .
The authorized official title is Ceo and has the following contact phone number (606) 796-3029.

The CLIA number assigned to this NPI record is 18D0324859 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/17/2020 and was last updated on 4/17/2020.

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
1	261QF0400X	Clinic/Center	Federally 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
1	31000268	MEDICAID	KENTUCKY

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: 5/5/2024

NPI Synchronization or Removal

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