LINCOLN COUNTY PRIMARY CARE CENTER, INC. (NPI# 1093848301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093848301 |
| Entity Type | Organization |
| Organization Name | LINCOLN COUNTY PRIMARY CARE CENTER, INC. |
| Other Organization Name | GUYAN VALLEY WELLNESS CENTER |
| Practice Address |
5322 Mcclellan Hwy Branchland WV 25506-8725 |
| Mailing Address |
7400 Lynn Ave Hamlin WV 25523-1138 |
| Practice Telephone | 3048245707 |
| Practice Fax Number | 3048245706 |
| Mailing Telephone | 3048245806 |
| Mailing Fax Number | 3048245804 |
| Enumeration Date | 2007-03-14 |
| 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 |
| Other Name | Type Code |
|---|---|
| GUYAN VALLEY WELLNESS CENTER | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033490149 | Lincoln County Primary Care Center, Inc. | Clinic/Center | 5027 Helena Ave, Suite 1, Delbarton, WV 25670-1301 | 2011-09-01 |
| 1841596277 | Lincoln County Primary Care Center, Inc. | Clinic/Center | 2508 Straight Fork Rd, Alkol, WV 25501 | 2011-02-02 |
| 1396052528 | Lincoln County Primary Care Center, Inc. | Clinic/Center | 506 Crawley Creek Rd, Chapmanville, WV 25508-7002 | 2010-09-09 |
| 1861662199 | Lincoln County Primary Care Center, Inc. | Clinic/Center | 7400 Lynn Avenue, Hamlin, WV 25523 | 2008-03-03 |
| 1457541229 | Lincoln County Primary Care Center, Inc. | Clinic/Center | 5304 Straight Fork Road, Griffithsville, WV 25521-9504 | 2007-07-27 |
| 1457610594 | Lincoln County Primary Care Center, Inc. | Clinic/Center | 1563 Sand Plant Rd, South Charleston, WV 25309-6120 | 2012-05-10 |
| 1366723975 | Lincoln County Primary Care Center, Inc. | Clinic/Center | 1 Wildcat Way, Logan, WV 25601-3474 | 2011-09-09 |
| 1689997678 | Lincoln County Primary Care Center, Inc. | Clinic/Center | 600 E Mcdonald Ave, Man, WV 25635-1023 | 2010-03-05 |
| 1942523931 | Lincoln County Primary Care Center, Inc. | Clinic/Center | 202 Larry Joe Harless Drive, Suite 205, Gilbert, WV 25621-1842 | 2010-03-05 |
| 1255521027 | Lincoln County Primary Care Center, Inc. | Clinic/Center | 5322 Mcclellan Hwy, Branchland, WV 25506-8725 | 2007-07-27 |
| Street Address |
5322 MCCLELLAN HWY |
| City | BRANCHLAND |
| State | WV |
| Zip Code | 25506-8725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255521027 | Lincoln County Primary Care Center, Inc. | Clinic/Center | 5322 Mcclellan Hwy, Branchland, WV 25506-8725 | 2007-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245746809 | Sheila Ann Mays | Technician | 1100 Raccoon Creek Road, Branchland, WV 25506 | 2017-12-19 |
| 1386943405 | Mary Elizabeth Sangregory | Licensed Practical Nurse | 342 Camp Branch Rd, Branchland, WV 25506 | 2011-03-16 |
| 1447864178 | Angela R Samuel-dean | Technician | 13 Chaney Br, Branchland, WV 25506-6029 | 2020-09-01 |
| 1801406707 | Cassandra Clark | Technician | 1284 4 Mile Crk, Branchland, WV 25506-6709 | 2020-08-05 |
| 1063024842 | Courtney Ann Jackson | Technician | 5001 Mcclellan Hwy, Branchland, WV 25506-7704 | 2020-08-21 |
| 1871105387 | Travis Wade Saunders | Technician | 196 Little Laurel Crk, Branchland, WV 25506-7756 | 2020-08-18 |
| 1588973739 | Jeremy Dale Neace | Pharmacist | 5798 Mcclellan Hwy, Branchland, WV 25506-8700 | 2010-10-05 |
| 1548379878 | Rite Aid of West Virginia Inc | Durable Medical Equipment & Medical Supplies | 5798 Mcclellan Highway, Branchland, WV 25506-8700 | 2006-08-30 |
| 1164948972 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 5798 Mcclellan Hwy, Branchland, WV 25506-8700 | 2017-08-15 |
| 1598054744 | Sharon Rose Morrison | Pharmacist | 5798 Mcclellan Hwy, Branchland, WV 25506-8700 | 2011-03-28 |
| Find all providers in zip 25506 | ||||
| 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 |
|---|---|---|---|---|
| 1255521027 | Lincoln County Primary Care Center, Inc. | Clinic/Center | 5322 Mcclellan Hwy, Branchland, WV 25506-8725 | 2007-07-27 |
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|---|---|---|---|---|
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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 | ||||
| City | BRANCHLAND |
| Zip Code | 25506 |
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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.