LINCOLN PRIMARY CARE CENTER (NPI# 1265565451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265565451 |
Entity Type | Organization |
Organization Name | LINCOLN PRIMARY CARE CENTER |
Other Organization Name | LINCOLN PRIMARY CARE CENTER |
Practice Address |
7400 Lynn Ave Hamlin WV 25523-1138 |
Practice Telephone | 3048245806 |
Practice Fax Number | 3048245804 |
Mailing Telephone | 3048245806 |
Mailing Fax Number | 3048245804 |
Enumeration Date | 2007-03-14 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MS. REBECCA DAWN SMITH (CREDENTIALING) |
Authorized Official Telephone | 3048245806 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2471M2300X |
Radiologic Technologist Specialization: Mammography |
2578 | WV | Technologists, Technicians & Other Technical Service Providers |
Other Name | Type Code |
---|---|
Lincoln Primary Care Center | Other Name - Individual/Organization |
Street Address |
7400 LYNN AVE |
City | HAMLIN |
State | WV |
Zip Code | 25523-1138 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932109444 | Courtney Kovach Reynolds | Physician Assistant | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2005-07-26 |
1235774910 | Austin Dale Tiller | Physician Assistant | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2019-11-17 |
1871089508 | Makenzie T Tiller | Physician Assistant | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2018-07-05 |
1992224745 | Richard Keith Finley | Pharmacist | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2017-09-13 |
1639694821 | Lorin Belcher | Physician Assistant | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2017-08-08 |
1528588563 | Aaron Hemlepp | Social Worker | 7400 Lynn Ave, Hamlin, WV 25523 | 2017-06-21 |
1992230262 | Laura Given | Family Medicine | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2017-04-25 |
1578018214 | Mara Wright Sutphin | Physician Assistant | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2016-08-23 |
1275986143 | Lisa Adkins | Nurse Practitioner | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2016-07-15 |
1801254412 | Jack Doty IIi | Physician Assistant | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2016-02-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467061747 | Jacqueline Jeffery | Technician | 43 Lees Lake Rd, Branchland, WV 25523 | 2020-07-23 |
1548708530 | William Timothy Denney | Counselor | 8009 Lynn Ave, Hamlin, WV 25523 | 2017-02-09 |
1689053621 | Salina A. Lyter | Clinical Exercise Physiologist | 51 Tortoise Ln., Hamlin, WV 25523 | 2015-05-22 |
1295179711 | Tri River Transit Authority | Non-emergency Medical Transport (VAN) | 753 Marconi Drive, Hamlin, WV 25523 | 2013-04-26 |
1841598125 | Maggi (margaret) Louise Perl | Massage Therapist | At Sharon's Kut & Kurl White's Shopping Plaza, Maggi's Massage Therapy, Hamlin, WV 25523 | 2011-03-10 |
1861662199 | Lincoln County Primary Care Center, Inc. | Clinic/Center | 7400 Lynn Avenue, Hamlin, WV 25523 | 2008-03-03 |
1295905610 | Kidney Associates Pllc | Internal Medicine | 8152-b Court Avenue, Hamlin, WV 25523 | 2008-03-03 |
1437336963 | Kelly Renee Kinder | Psychologist | 10 Marland Avenue, Hamlin, WV 25523 | 2008-01-28 |
1710184049 | Lincoln County Board of Education | Local Education Agency (LEA) | 10 Marland Ave, Hamlin, WV 25523 | 2007-06-29 |
1548359755 | Lincoln County Health Department | Public Health or Welfare | 8008 Court Ave, Courthouse Annex, Hamlin, WV 25523 | 2006-10-12 |
Find all providers in zip 25523 |
Taxonomy Code | 2471M2300X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
Specialization | Mammography |
Definition to come... |
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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.