LEWIS COUNTY PRIMARY CARE CENTER, INC. (NPI# 1255489910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255489910 |
Entity Type | Organization |
Organization Name | LEWIS COUNTY PRIMARY CARE CENTER, INC. |
Other Organization Name | PRIMARYPLUS |
Practice Address |
927 Kenton Station Dr Maysville KY 41056-9609 |
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 | 2007-01-08 |
Last Update Date | 2010-04-12 |
Authorized Official Name | MR. JERRY G UGRIN (CEO) |
Authorized Official Telephone | 6067963029 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
700041 | KY | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 3015963 | 05 |
Other Name | Type Code |
---|---|
PrimaryPlus | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891083036 | Lewis County Primary Care Center, Inc. | Clinic/Center | 142 Depot Street, South Shore, KY 41175 | 2011-07-20 |
1477564987 | Lewis County Primary Care Center, Inc. | Pharmacy | 17521 W Ky Hwy 9, Tollesboro, KY 41189 | 2006-08-10 |
1992330997 | Lewis County Primary Care Center, Inc. | Clinic/Center | 502 S 2nd St, Ripley, OH 45167-1306 | 2020-03-10 |
1629542469 | Lewis County Primary Care Center, Inc. | Pharmacy | 432 16th St, Ashland, KY 41101-7693 | 2019-01-15 |
1235688920 | Lewis County Primary Care Center, Inc. | Pharmacy | 142 Depot Dr, South Shore, KY 41175-9306 | 2016-09-23 |
1902206857 | Lewis County Primary Care Center, Inc. | Clinic/Center | 432 16th St, Ashland, KY 41101-7693 | 2014-08-28 |
1346513710 | Lewis County Primary Care Center, Inc. | Pharmacy | 520 Elizaville Ave, Flemingsburg, KY 41041-1141 | 2012-02-16 |
1669650966 | Lewis County Primary Care Center, Inc. | Pharmacy | 927 Kenton Station Dr, Maysville, KY 41056-9617 | 2008-02-08 |
1184749277 | Lewis County Primary Care Center, Inc. | Clinic/Center | 520 Elizaville Ave, Flemingsburg, KY 41041-1141 | 2007-03-20 |
1205951084 | Lewis County Primary Care Center, Inc. | Clinic/Center | 17521 W Ky 9, Tollesboro, KY 41189 | 2007-03-20 |
Street Address |
927 KENTON STATION DR |
City | MAYSVILLE |
State | KY |
Zip Code | 41056-9609 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477551596 | Nancy Guttman | Family Medicine | 927 Kenton Station Dr, Maysville, KY 41056-9609 | 2005-07-12 |
1356960702 | Ryan Patrick Cooper | Pharmacist | 927 Kenton Station Dr, Maysville, KY 41056-9617 | 2020-04-15 |
1396364477 | Lucia D Owens | Pharmacist | 927 Kenton Station Dr, Maysville, KY 41056-9617 | 2020-04-09 |
1043848013 | Elizabeth Blair Lykins | Pharmacist | 927 Kenton Station Dr, Maysville, KY 41056-9617 | 2020-03-27 |
1134788227 | Allison Elizabeth Landreth | Nurse Practitioner | 927 Kenton Station Dr, Maysville, KY 41056-9617 | 2019-06-11 |
1932649639 | Gary W Zornes | Social Worker | 927 Kenton Station Dr, Maysville, KY 41056 | 2017-02-28 |
1093182180 | Kirby Buerkley Ross | Nurse Practitioner | 927 Kenton Station Dr, Maysville, KY 41056-9617 | 2015-08-25 |
1386054179 | Danielle Waymeyer | Pharmacist | 927 Kenton Station Dr, Maysville, KY 41056-9617 | 2014-05-01 |
1134569643 | Labone of Ohio Inc | Clinical Medical Laboratory | 927 Kenton Station Dr, Maysville, KY 41056-9617 | 2013-06-28 |
1356785828 | Kallie Akers | Obstetrics & Gynecology | 927 Kenton Station Dr, Maysville, KY 41056-9617 | 2013-04-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437762895 | Kathryn Haire | Dentist | 507 Market Place Drive, Maysville, KY 41056 | 2020-08-26 |
1700380375 | Tina Kinney | Nurse Practitioner | 420 W Martin Luther King Hwy, Maysville, KY 41056 | 2018-03-20 |
1760901227 | Judith I Marks | Home Health Aide | 211 Houston Ave, Maysville, KY 41056 | 2017-09-15 |
1205292299 | Mari Campbell | Physical Therapy Assistant | 479 Tucker Drive, Maysville, KY 41056 | 2016-01-07 |
1548545353 | Fit 'n' Trim, Ltd | Dietary Manager | 901 Us 68, Suite 200, Maysville, KY 41056 | 2011-10-13 |
1194962696 | Susan L Mccoy | Occupational Therapist | 300 Wood St. #231, Maysville, KY 41056 | 2009-01-21 |
1033321930 | Mason Co Health Dept. | Public Health or Welfare | 130 East Second Street, Maysville, KY 41056 | 2007-05-04 |
1477671428 | Brown & Payne Home Medical Inc | Durable Medical Equipment & Medical Supplies | 13 East 2nd Street, Maysville, KY 41056 | 2007-03-27 |
1760522296 | Mason County Schools | Local Education Agency (LEA) | 34 East Second and Limestone Streets, Maysville, KY 41056 | 2007-02-07 |
1275687337 | Buffalo Trace Childrens Advocacy Center | Voluntary or Charitable | 224 Limestone Street, Maysville, KY 41056 | 2007-01-23 |
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Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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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.