NPI | 1538284401 |
---|---|
Doing Business As | PRIMARYPLUS |
Entity Type | Organization |
Authorized Contact | JERRY UGRIN CEO 606-796-3029 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: KY 700041) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2010-09-23 |