Organization · Type 2 NPI

Lewis County Primary Care Center, Inc.

Federally Qualified Health Center (FQHC) · Brooksville, KY

NPI number 1871208199 Active

Practice location

106 Powell St.
Brooksville, KY 41004

Call (606) 402-2075 Map

Mailing address

PO Box 550
Vanceburg, KY 41179-0550

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

NPI record

NPI: 1871208199
Entity type: Organization (Type 2)
Issued: Jan 20, 2023
Last updated: Jan 20, 2023
Status: Active
Subpart: Yes of Lewis County Primary Care Center, Inc.

Other names

Bracken County School-Based Center · doing business as

Authorized official

Chad Erwin Evans
CCO
(606) 956-0188

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1871208199

Lewis County Primary Care Center, Inc.'s National Provider Identifier is 1871208199, issued on Jan 20, 2023. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Brooksville, KY. The record was last updated on Jan 20, 2023.