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CH04898Z LEWIS COUNTY PRIMARY CARE CENTER, INC (Active)
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Main Details
Name
LEWIS COUNTY PRIMARY CARE CENTER, INC
Subdivision Name
LEWIS CO FAMILY DENTAL CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002991
340B ID
CH04898Z
Grant Number
H80CS00106
Additional Details
Current Program Status
Active
Registration Date
4/12/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/13/2016
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
211 Ky 59 BLDG D
Vanceburg, KY 41179-7647
Billing Address
Lewis County Primary Care Center, Inc.
P.O. Box 550
Vanceburg, KY 41179
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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