Lewis County Primary Care Center, Inc. in Tollesboro - Federally Qualified Health Center (fqhc)
Lewis County Primary Care Center, Inc. - NPI 1205951084
Lewis County Primary Care Center, Inc. is a Federally Qualified Health Center (fqhc) in Tollesboro, Kentucky. Lewis County Primary Care Center, Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Lewis County Primary Care Center, Inc. is 1205951084. The last update date is 2015-01-28.
Lewis County Primary Care Center, Inc.'s current location address is 17521 W Ky 9, Tollesboro, Kentucky. You can contact this provider via phone number 6067983151 and fax number 6067982222. The mailing address for Lewis County Primary Care Center, Inc. is 17521 W Ky 9, Tollesboro, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lewis County Primary Care Center, Inc. |
|---|---|
| Address | 17521 W Ky 9, Tollesboro, Kentucky |
| Phone Number | 6067983151 |
| Fax Number | 6067982222 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Ugrin Jerry |
| Telephone Number | 6067963029 |
NPI Number Detail
| NPI Number | 1205951084 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2015-01-28 |
Provider Mailing Address Detail
| Address | 17521 W Ky 9 |
|---|---|
| City | Tollesboro |
| State | Kentucky (KY) |
| Post Code | 41189 |
| Phone Number | 6067983151 |
| Fax Number | 6067982222 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 700041 |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31000268 | KY | -- |
Post Comment/ Review Below
What is the Lewis County Primary Care Center, Inc.'s 1205951084?
The Lewis County Primary Care Center, Inc.'s NPI (National Provider Identifier) Number is 1205951084. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Lewis County Primary Care Center, Inc.'s facilities are situated?
The facilities of Lewis County Primary Care Center, Inc. are physically located at the following address: 17521 W Ky 9, Tollesboro, KY, 41189.
What is Lewis County Primary Care Center, Inc.'s area of expertise and its corresponding taxonomy classification?
The Lewis County Primary Care Center, Inc.'s field of specialization is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their areas of practice.
When was the Lewis County Primary Care Center, Inc.'s 1205951084 issued?
The Lewis County Primary Care Center, Inc.'s 1205951084 was issued on 2007-03-20.
When was the Lewis County Primary Care Center, Inc.'s information last updated?
The Lewis County Primary Care Center, Inc.'s information was last updated on 2015-01-28.
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