LINCOLN COUNTY PRIMARY CARE CENTER, INC (NPI# 1023331220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023331220 |
| Entity Type | Organization |
| Organization Name | LINCOLN COUNTY PRIMARY CARE CENTER, INC |
| Other Organization Name | SOUTHERN WEST VIRGINA HEALTH SYSTEM-LOGAN |
| Practice Address |
122 Nick Savas Drive Logan WV 25601-3468 |
| Mailing Address |
7400 Lynn Avenue Hamlin WV 25523-1138 |
| Practice Telephone | 3047528081 |
| Practice Fax Number | 3047528083 |
| Mailing Telephone | 3048245806 |
| Mailing Fax Number | 3048245885 |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2018-10-02 |
| Authorized Official Name | LISA LEACH (CEO) |
| Authorized Official Telephone | 3048245806 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810020368 | 05 |
| Other Name | Type Code |
|---|---|
| Southern West Virgina Health System-Logan | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003274580 | Lincoln County Primary Care Center, Inc | Clinic/Center | 267 Midway Rd, Alum Creek, WV 25003-9591 | 2016-01-29 |
| 1801254388 | Lincoln County Primary Care Center, Inc | Clinic/Center | 59 Vanatters Crk, Ranger, WV 25557-9719 | 2016-01-29 |
| 1942509856 | Lincoln County Primary Care Center, Inc | Clinic/Center | 5490 State Route 10, Salt Rock, WV 25559-9736 | 2011-03-17 |
| 1962583054 | Lincoln County Primary Care Center, Inc | Clinic/Center | 81 Lincoln Panther Way, Hamlin, WV 25523-1169 | 2006-10-17 |
| 1447619416 | Lincoln County Primary Care Center, Inc | Clinic/Center | 1 Pioneer Path, Man, WV 25635-1235 | 2016-02-18 |
| Street Address |
122 NICK SAVAS DRIVE |
| City | LOGAN |
| State | WV |
| Zip Code | 25601-3468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689805 | Appalachian Medical LLC | Durable Medical Equipment & Medical Supplies | 218 Dingess St, Logan, WV 25601 | 2020-11-04 |
| 1184224909 | Pamela Gail Hamlin | Technician | 123 Cassick Street, Logan, WV 25601 | 2020-10-30 |
| 1134607344 | Allyson Christa Mckinney | Occupational Therapy Assistant | 55 Lmmh Center Road, Logan, WV 25601 | 2018-07-31 |
| 1841783727 | Erica Lupson | Nurse Practitioner | 3 Mile Curve, Logan, WV 25601 | 2018-06-14 |
| 1861930836 | Joseph Michael Mounts | Counselor | 312 Hudgins St, Logan, WV 25601 | 2017-02-09 |
| 1932647385 | Melissa Campbell | Occupational Therapy Assistant | Wv-10, Logan, WV 25601 | 2017-02-06 |
| 1356891659 | Brooke Bell | Pharmacist | Route 44 Holden Rd, Logan, WV 25601 | 2016-10-11 |
| 1760886469 | April Workman | Massage Therapist | 19 A Main Avenue, Logan, WV 25601 | 2014-10-09 |
| 1366889081 | Ashley Leann Dingess | Physical Therapy Assistant | 55 Logan Mingo Mental Health, Logan, WV 25601 | 2013-06-04 |
| 1528361466 | Health Care Management, LLC | Pharmacy | 369 George Kostas Drive, Logan, WV 25601 | 2010-12-15 |
| Find all providers in zip 25601 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417305087 | Bear Lake Community Health Centers | Clinic/Center | 944 S State Highway 89, Logan, UT 84321-5436 | 2016-05-24 |
| 1336106632 | Community Health Foundation of Logan | Clinic/Center | Hc68 Box 1000, Suite 3, Logan, WV 25601-9620 | 2006-04-28 |
| 1669463360 | Hopewell Health Centers Inc | Clinic/Center | 30381 Chieftain Drive, Logan, OH 43138-1013 | 2005-11-02 |
| 1598396202 | Logan-mingo Area Mental Health, Inc | Clinic/Center | 174 Lmah Center Rd, Logan, WV 25601-4058 | 2020-01-31 |
| 1083169163 | Hopewell Health Centers Inc | Clinic/Center | 541 State Route 664 N Ste C, Logan, OH 43138-8541 | 2016-08-18 |
| 1366723975 | Lincoln County Primary Care Center, Inc. | Clinic/Center | 1 Wildcat Way, Logan, WV 25601-3474 | 2011-09-09 |
| 1063630705 | Bear Lake Community Health Center | Clinic/Center | 550 E 1400 N Ste K, Logan, UT 84341-2450 | 2007-04-20 |
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| 1063048189 | Community Care of West Virginia, Inc. | Clinic/Center | 34 N Kanawha St, Buckhannon, WV 26201-2714 | 2020-03-20 |
| 1619503422 | Change Inc | Clinic/Center | 114 Taylor Ave, Weirton, WV 26062-4635 | 2020-03-13 |
| 1861023699 | Logan-mingo Area Mental Health, Inc | Clinic/Center | 2954 Buffalo Creek Road, Chattaroy, WV 25667 | 2020-01-30 |
| 1689220402 | New River Health Association, Inc. | Clinic/Center | 2 Greyhound Ln., Smithers, WV 25186 | 2019-08-16 |
| 1740836873 | Williamson Health & Wellness Center Inc | Clinic/Center | 5 Parkway Dr, Williamson, WV 25661-3428 | 2019-08-14 |
| 1699321729 | Williamson Health & Wellness Center Inc | Clinic/Center | 50 Panther Blvd, Williamson, WV 25661-7441 | 2019-08-14 |
| 1083260129 | Williamson Health & Wellness Center Inc | Clinic/Center | 300 Blue Devil Lane, Kermit, WV 25661 | 2019-08-14 |
| 1225684731 | Williamson Health & Wellness Center Inc | Clinic/Center | 1000 King Coal Hwy, Delbarton, WV 25670-9529 | 2019-08-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.