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CH04898V LEWIS COUNTY PRIMARY CARE CENTER, INC (Active)
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Main Details
Name
LEWIS COUNTY PRIMARY CARE CENTER, INC
Subdivision Name
MAYSVILLE OB/GYN FAMILY HLTH
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005115
340B ID
CH04898V
Grant Number
H80CS00106
Additional Details
Current Program Status
Active
Registration Date
8/22/2005
Participating Start Date
9/9/2005
Participating Approval Date
8/26/2005
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
927 Kenton Station Dr
Maysville, KY 41056-9609
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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6/2/2008- OPA NOTIFIED OF UPDATED ADD. (WAS 991 MEDICAL PARK DRIVE, SUITE 309)- THE EFFECTIVE DATE WAS 4/1/2008; 1/18/08- ADDED SHIP TO ADDRESS FOR THE INHOUSE PHARMACY;
06/02/2008
May 2025
May 2025
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