Lewis County Primary Care Center, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Ripley, OH
NPI 1992330997 · NPPES record last updated Mar 10, 2020
Key facts
- NPI
- 1992330997
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- LEWIS COUNTY PRIMARY CARE CENTER, INC.
- Practice address
- 502 S 2ND St
Ripley, OH 45167-1306 - Phone
- (937) 744-4343
- Fax
- (937) 744-4344
- NPI assigned
- Mar 10, 2020
- Organization subpart
- No
Authorized official
- Name
- Jerry Ugrin
- Title
- Ceo
- Phone
- (606) 796-3029
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
502 S 2ND St
Ripley, OH 45167-1306
Mailing address
PO Box 550
Vanceburg, KY 41179-0550
Phone (606) 796-3029
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31000268 | Medicaid | KY | |
| 0864613 | Medicaid | OH |
Other names
- PrimaryPlus
Other providers in Ripley, OH
- Mary Ruth Howelett
- Esther Naomi Kemmeter
- (Dodie) Doris J. Kirby
- Carissa Kirk
- Sandra Marie Kistler
- Kaitlin Maloff
- Danette Dawn Martin
- Madeline Miller
- Jennifer Lynn Moffett
- Monica L Mussinan
All providers in Ripley, OH · Federally Qualified Health Center (FQHC) in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.