Organization · Type 2 NPI

Lewis County Primary Care Center, Inc.

Federally Qualified Health Center (FQHC) · South Shore, KY

NPI number 1891083036 Active

Practice location

142 Depot Street
South Shore, KY 41175

Fax (606) 796-6221

Mailing address

PO Box 550
Vanceburg, KY 41179-0550

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1891083036

Lewis County Primary Care Center, Inc.'s National Provider Identifier is 1891083036, issued on Jul 20, 2011. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in South Shore, KY. The record was last updated on Jul 20, 2011.