LEWIS COUNTY PRIMARY CARE CENTER, INC (NPI# 1043336506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043336506 |
Entity Type | Organization |
Organization Name | LEWIS COUNTY PRIMARY CARE CENTER, INC |
Other Organization Name | FITNESS FIRST & REHAB CENTER |
Practice Address |
211 Ky 59 Vanceburg KY 41179-7647 |
Mailing Address |
Po Box 550 Vanceburg KY 41179-0550 |
Practice Telephone | 6067963029 |
Practice Fax Number | 6067966221 |
Mailing Telephone | 6067963029 |
Mailing Fax Number | 6067966221 |
Enumeration Date | 2007-03-22 |
Last Update Date | 2012-01-19 |
Authorized Official Name | JERRY UGRIN (CEO) |
Authorized Official Telephone | 6067963029 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
100989 | KY | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 31000268 | 05 |
Other Name | Type Code |
---|---|
Fitness First & Rehab Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740893999 | Lewis County Primary Care Center, Inc | Pharmacy | 645 Interstate Drive, Grayson, KY 41143 | 2020-08-27 |
1780298075 | Lewis County Primary Care Center, Inc | Pharmacy | 910 Kenton Station Dr, Maysville, KY 41056-9613 | 2020-09-03 |
Street Address |
211 KY 59 |
City | VANCEBURG |
State | KY |
Zip Code | 41179-7647 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437157815 | Ramon L Barcelona | Family Medicine | 211 Ky 59, Vanceburg, KY 41179 | 2005-07-11 |
1881158434 | Nikki Lynn Moore | Nurse Practitioner | 211 Ky 59, Vanceburg, KY 41179-7647 | 2019-01-29 |
1700213105 | Judith Jill Bowling Jaggers | Registered Nurse | 211 Ky 59, Vanceburg, KY 41179 | 2013-09-30 |
1790088987 | Terrilee Hainline | Nurse Practitioner | 211 Ky 59, Vanceburg, KY 41179-7647 | 2010-12-10 |
1699905273 | Kacy Cluxton | Dietitian, Registered | 211 Ky 59, Vanceburg, KY 41179 | 2009-07-17 |
1831326305 | Emily Hughes | Dentist | 211 Ky 59, Vanceburg, KY 41179-7647 | 2009-06-11 |
1659421907 | Ronald D Mays | Dentist | 211 Ky 59, Vanceburg, KY 41179-7647 | 2007-01-11 |
1487766614 | Lewis County Primary Care Center Pharmacy | Pharmacy | 211 Ky 59, Vanceburg, KY 41179-0550 | 2006-09-01 |
1114936192 | Kelly G Moss | Family Medicine | 211 Ky 59, Vanceburg, KY 41179-7647 | 2006-08-07 |
1164442463 | Christine C Mckain | Emergency Medicine | 211 Ky 59, Vanceburg, KY 41179-7647 | 2006-07-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033731278 | Seth Carroll | Pharmacist | Lewis County Primary Care Center, 211 Ky 59, Vanceburg, KY 41179 | 2020-05-11 |
1326699430 | Jackie Kelley | Technician | 19750 Ky 59, Vanceburg, KY 41179 | 2019-09-20 |
1487092862 | Portsmouth Emergency Ambulance Service Inc | Ambulance | 1006 Fairlane Drive, Vanceburg, KY 41179 | 2013-06-07 |
1740443050 | Glenda J Gayheart | Early Intervention Provider Agency | 8385 E Ky8, Vanceburg, KY 41179 | 2008-07-07 |
1568651016 | John D. O'cull Dentistry P.s.c. | Dentist | Rural Route 3037, Vanceburg, KY 41179 | 2007-10-22 |
1225237472 | Mary K. Mcclurg | Case Manager/Care Coordinator | Aa Highway, Vanceburg, KY 41179 | 2007-07-17 |
1295952604 | Lewis County Health Dept | Public Health or Welfare | 185 Commercial Drive, Lewis County Health Department, Vanceburg, KY 41179 | 2007-04-19 |
1982749032 | John D O'cull | Dentist | Route 3037, Vanceburg, KY 41179 | 2007-02-20 |
1275681934 | Martha L Parker | Dietitian, Registered | Rt 3 Box 31, Vanceburg, KY 41179 | 2007-01-08 |
1750320446 | Family Medical Center | Family Medicine | Hc 75 Box 1005, Vanceburg, KY 41179 | 2006-06-06 |
Find all providers in zip 41179 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457303802 | Lewis County Primary Care Center | Clinic/Center | 211 Ky 59, Vanceburg, KY 41179-9719 | 2006-05-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255932570 | Sterling Health Solutions, Inc | Clinic/Center | 642 Rose Way, Stanton, KY 40380 | 2020-11-03 |
1861099087 | Sterling Health Solutions Inc | Clinic/Center | 367 Bethlehem Rd, Paris, KY 40361-2493 | 2020-10-01 |
1710584925 | Sterling Health Solutions Inc | Clinic/Center | 3339 Lexington Rd, Paris, KY 40361-1038 | 2020-10-01 |
1255938460 | Sterling Health Solutions Inc | Clinic/Center | 3341 Lexington Rd, Paris, KY 40361-1038 | 2020-10-01 |
1831705995 | Sterling Health Solutions Inc | Clinic/Center | 369 Bethlehem Rd, Paris, KY 40361-2493 | 2020-09-23 |
1053926394 | A Plus Family Healthcare LLC | Clinic/Center | 220 Wildcat Way, Brownsville, KY 42210-9032 | 2020-09-14 |
1174138689 | A Plus Family Healthcare LLC | Clinic/Center | 5720 Ky Highway 259 N, Sweeden, KY 42285-7106 | 2020-09-11 |
1851901656 | Sterling Health Solutions Inc | Clinic/Center | 506 Maysville Rd Ste 2, Mount Sterling, KY 40353-9317 | 2020-08-06 |
1639797665 | Cumberland Family Medical Center, Inc. | Clinic/Center | 478 Whirlaway Drive, Suite 200, Davnille, KY 40422-9037 | 2020-07-07 |
1275160376 | Cumberland Family Medical Center, Inc. | Clinic/Center | 323 Morningside Drive, Elizabethtown, KY 42701-1739 | 2020-03-26 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on LEWIS COUNTY PRIMARY CARE CENTER, INC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.