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CH04898E LEWIS COUNTY PRIMARY CARE CENTER, INC (Active)
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Main Details
Name
LEWIS COUNTY PRIMARY CARE CENTER, INC
Subdivision Name
FLEMINGBURG COUNTY FAMILY H.C
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004407
340B ID
CH04898E
Grant Number
H80CS00106
Additional Details
Current Program Status
Active
Registration Date
10/1/2004
Participating Start Date
10/1/2004
Participating Approval Date
8/9/2004
Last Recertification Date
2/26/2025
Contacts
Authorizing Official
Lewis County Primary Care Center, Inc.
JERRY UGRIN, CEO
(606) 796-3029
Primary Contact
Lewis County Primary Care Center, Inc.
Chad Evans, PharmD
(606) 956-0188
Addresses
Street Address
520 Elizaville Ave
Flemingsburg, KY 41041-1141
Billing Address
LEWIS COUNTY PRIMARY CARE CENTER, INC.
PO BOX 550
VANCEBURG, KY 41179
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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NEW SITE 10/01/2004
08/22/2005
May 2025
May 2025
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