FITNESS FIRST & REHAB CENTER – NPI #1043336506
Clinic/Center

FITNESS FIRST & REHAB CENTER is an AHC clinic located in VANCEBURG, KY. NPPES has assigned the NPI number 1043336506 to FITNESS FIRST & REHAB CENTER on March 22, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FITNESS FIRST & REHAB CENTER” is a dba name, the actual legal business name for this organization is LEWIS COUNTY PRIMARY CARE CENTER, INC. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 14 years ago on Jan 19, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FITNESS FIRST & REHAB CENTER below.

NPI Profile for
LEWIS COUNTY PRIMARY CARE CENTER, INC

NPI Number
1043336506
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LEWIS COUNTY PRIMARY CARE CENTER, INC
Doing Business As (dba): FITNESS FIRST & REHAB CENTER
Primary location
211 KY 59
VANCEBURG, KY 41179-7647
Phone: (606) 796-3029 Fax: (606) 796-6221
Mailing address
PO BOX 550
VANCEBURG, KY 41179-0550
Phone: (606) 796-3029 Fax: (606) 796-6221
Organization Subpart
No
Authorized Official
JERRY UGRIN
CEO
Phone: (606) 796-3029
Updated
Identifiers

Identifiers for FITNESS FIRST & REHAB CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDKY31000268
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)		 KY 100989

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.