Lewis County Primary Care Center, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

700041 Issued in KY

Legal business name

LEWIS COUNTY PRIMARY CARE CENTER, INC.

Doing business as

PrimaryPlus

Practice address

520 Elizaville Ave
Flemingsburg, KY 41041-1141

Phone

(606) 845-0028

Fax

(606) 845-0263

NPI assigned

Mar 20, 2007

Last updated

Jan 28, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jerry Ugrin

Title

Ceo

Phone

(606) 796-3029

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• PrimaryPlus Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1184749277. Details of each certification follow.

• CCN 181844 Federally qualified health center · Active · Name & address match · Details
• CCN B01184 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 181844

Legal name

LEWIS COUNTY PRIMARY CARE CENTER INC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Sep 8, 2004

Last certification

Sep 8, 2004

Ownership / control type

For profit – partnership

Facility address

520 Elizaville Avenue
Flemingsburg, KY 41041

Federally qualified health center certification: CCN B01184

Legal name

PRIMARYPLUS

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Aug 15, 2025

Last certification

Aug 15, 2025

Ownership / control type

For profit – corporation

Facility address

520 Elizaville Ave
Flemingsburg, KY 41041

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1184749277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "VANCEBURG",
            "state": "KY",
            "postal_code": "411790550",
            "telephone_number": "606-796-3029",
            "fax_number": "606-796-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 ELIZAVILLE AVE",
            "city": "FLEMINGSBURG",
            "state": "KY",
            "postal_code": "410411141",
            "telephone_number": "606-845-0028",
            "fax_number": "606-845-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS COUNTY PRIMARY CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "UGRIN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "606-796-3029",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "KY",
            "license": "700041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0864613",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31000268",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PrimaryPlus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Larien D Kearns, M.D.
• Kentucky Post-Acute Medical Services 1 PSC
• Dana Stamper Kerns, D.C.
• Kristy Klebeck, RPH
• Timothy Richard Leuenberger, ARNP
• Lewis County Primary Care Center, Inc. (Flemingsburg Family Health Center Pharmacy)
• David J Lindberg, M.S.
• Terri Lynn McCleese
• Donald Earl McDaniel II, CRNA
• Jennifer McRoberts, APRN

• Federally Qualified Health Center (FQHC) in Flemingsburg, KY
• Providers in Flemingsburg, KY by specialty
• Federally Qualified Health Center (FQHC) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.