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CH04898AJ LEWIS COUNTY PRIMARY CARE CENTER INC (Active)
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Main Details
Name
LEWIS COUNTY PRIMARY CARE CENTER INC
Subdivision Name
PrimaryPlus - Morehead
Type
HRSA-Funded Health Center
Site ID
BPS-H80-033894
340B ID
CH04898AJ
Grant Number
H80CS00106
Additional Details
Current Program Status
Active
Registration Date
10/16/2023
Participating Start Date
1/1/2024
Participating Approval Date
10/18/2023
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
2300 KY-801
Morehead, KY 40351
Billing Address
Lewis County Primary Care Center, Inc.
211 KY 59
P.O. Box 550
Vanceburg, KY 41179
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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