LINCOLN MEDICAL CENTER (NPI# 1295778579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295778579 |
| Entity Type | Organization |
| Organization Name | LINCOLN MEDICAL CENTER |
| Other Organization Name | LINCOLN MEDICAL CENTER PHARMACY |
| Practice Address |
106 Medical Center Blvd Fayetteville TN 37334-2684 |
| Practice Telephone | 9314387400 |
| Practice Fax Number | 9314387404 |
| Mailing Telephone | 9314387400 |
| Mailing Fax Number | 9314387404 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2016-08-19 |
| Authorized Official Name | DAVID GROCE (CHIEF EXEC OFC) |
| Authorized Official Telephone | 9314387471 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
526 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2088475 | 01 |
| Other Name | Type Code |
|---|---|
| LINCOLN MEDICAL CENTER PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487007589 | Lincoln Medical Center | General Acute Care Hospital | 567 Spruce Ln, Franklin Lakes, NJ 07417-2418 | 2016-07-13 |
| 1891068508 | Lincoln Medical Center | Internal Medicine | 23077 Greenfield Rd Ste 156, Southfield, MI 48075-3770 | 2012-02-13 |
| 1831223635 | Lincoln Medical Center | Psychiatric Unit | 1681 Winchester Hwy, Fayetteville, TN 37334-2758 | 2007-03-15 |
| 1811374895 | Lincoln Medical Center | General Acute Care Hospital | 234 E 149th St, Bronx, NY 10451-5504 | 2015-04-29 |
| 1902215650 | Lincoln Medical Center | General Acute Care Hospital | 234 E 149th St, Bronx, NY 10451-5504 | 2014-08-07 |
| 1508293614 | Lincoln Medical Center | General Acute Care Hospital | 234 E 149th St, Bronx, NY 10451-5504 | 2013-10-03 |
| 1598191785 | Lincoln Medical Center | General Acute Care Hospital | 234 E 149th St, Bronx, NY 10451-5504 | 2013-09-19 |
| 1407148455 | Lincoln Medical Center | General Acute Care Hospital | 234 E 149th St, Bronx, NY 10451-5504 | 2011-05-10 |
| 1629024914 | Lincoln Medical Center | General Acute Care Hospital | 106 Medical Center Blvd, Fayetteville, TN 37334-2684 | 2006-05-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LINCOLN MEDICAL CENTER | 106 Medical Center Blvd, Fayetteville, TN 37334-2684 |
| System for Award Management (SAM) Entities | LINCOLN MEDICAL CENTER AND MENTAL HEALTH CENTER | 234 E 149th St, Bronx, NY 10451-5504 |
| Street Address |
106 MEDICAL CENTER BLVD |
| City | FAYETTEVILLE |
| State | TN |
| Zip Code | 37334-2684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952394876 | John C Compton | Nurse Anesthetist, Certified Registered | 106 Medical Center Blvd, Fayetteville, TN 37334-2684 | 2005-08-25 |
| 1063043578 | Lori Atchley Mitchell | Nurse Practitioner | 106 Medical Center Blvd, Fayetteville, TN 37334-2684 | 2020-02-03 |
| 1972052561 | Lincoln Anesthesia Services Pllc | Nurse Anesthetist, Certified Registered | 106 Medical Center Blvd, Attn: Patsy A. Langford, Crna - Anesthesia Dept, Fayetteville, TN 37334-2684 | 2016-09-24 |
| 1235500562 | Rajesh Gade Rao | Physician Assistant | 106 Medical Center Blvd, Fayetteville, TN 37334-2684 | 2015-10-13 |
| 1629450614 | William Daniel | Nurse Practitioner | 106 Medical Center Blvd, Fayetteville, TN 37334 | 2015-06-25 |
| 1235542333 | Lincoln Medical Center Ambulance Service | Ambulance | 106 Medical Center Blvd, Fayetteville, TN 37334-2684 | 2014-06-05 |
| 1184988941 | Jessica Anne Mccormick | Pharmacist | 106 Medical Center Blvd, Fayetteville, TN 37334-2684 | 2012-06-26 |
| 1902048010 | Lincoln Medical Center Hospitalist | Family Medicine | 106 Medical Center Blvd, Fayetteville, TN 37334-2684 | 2009-04-03 |
| 1992947568 | Sandra Kilburn Daniel | Nurse Practitioner | 106 Medical Center Blvd, Fayetteville, TN 37334-2684 | 2009-03-29 |
| 1023202223 | Samantha Lea Stephens | Physician Assistant | 106 Medical Center Blvd, Fayetteville, TN 37334-2684 | 2007-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902385198 | Denisia Bernadette Maldonado | Specialist/Technologist, Other | 108 Medical Center Blvd., Suite #100, Fayetteville, TN 37334 | 2018-08-09 |
| 1457801011 | Joshua Meadows | Specialist/Technologist | 101 Industrial Blvd, Fayetteville, TN 37334 | 2016-10-07 |
| 1891083762 | Kathryn Clare Moran | Physical Therapist | 1412 Huntsville Hwy, Fayetteville, TN 37334 | 2011-07-13 |
| 1891997714 | Calvin H Parks | Chiropractor | 1321 Huntsville Hwy, Fayetteville, TN 37334 | 2007-06-04 |
| 1225249691 | Stacey Starr Pace | Family Medicine | 1931 Wilson Pky, Suite A, Fayetteville, TN 37334 | 2007-05-25 |
| 1144388992 | Tom Spain Bigham IIi | Dentist | 608 West College Street, Fayetteville, TN 37334 | 2006-12-05 |
| 1932286259 | Alan B Drewry | Dentist | 602 West College Street, Fayetteville, TN 37334 | 2006-11-01 |
| 1083724561 | Samuel Michael Ashby | Internal Medicine | 804 William D Jones Blvd, Fayetteville, TN 37334 | 2006-08-30 |
| 1194336818 | Collin Amos | Pharmacist | 1000 Huntsville Hwy, Fayetteville, TN 37334 | 2020-08-14 |
| 1578885620 | Lincoln Medical Group | Specialist | 108 Medical Center Blvd, Suite 150, Fayetteville, TN 37334 | 2010-02-17 |
| Find all providers in zip 37334 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891789574 | R & R Medical Inc | Pharmacy | 2515 E Huntsville Rd, Fayetteville, AR 72701-7329 | 2005-09-08 |
| 1821098880 | Collier Pharmacy Services | Pharmacy | 102 W Dickson St, Suite S, Fayetteville, AR 72701-5219 | 2005-07-29 |
| 1699774208 | Collier Drug Stores Inc | Pharmacy | 100 W Dickson St, Fayetteville, AR 72701-5219 | 2005-07-15 |
| 1114483559 | Brightstar Health Corp | Pharmacy | 5515 Waldos Beach Rd, Fayetteville, NC 28306-5505 | 2019-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770199432 | Boones Creek Pharmacy, Inc. | Pharmacy | 4729 N Roan St Ste 2, Johnson City, TN 37615-3886 | 2020-09-18 |
| 1164032546 | Polaris Pharmacy Services of Tennessee, LLC | Pharmacy | 7005 Wesbelt Drive, Nashville, TN 32709 | 2020-07-31 |
| 1386261030 | Jeffrey Allan Anderson | Pharmacy | 721 N Tennessee Ave, Etowah, TN 37331-1754 | 2020-06-29 |
| 1376171652 | Boatwright Drug Co., Inc | Pharmacy | 7899 Leroy Boatwright St, Millington, TN 38053-2137 | 2020-03-31 |
| 1245868850 | Seymour Pharmacy Inc. | Pharmacy | 10721 Chapman Hwy Ste 6, Seymour, TN 37865-4771 | 2020-03-30 |
| 1700423654 | Southland Ltc Pharmacy | Pharmacy | 482 Interstate Dr Ste L, Manchester, TN 37355-3485 | 2019-12-10 |
| 1104380930 | Fannon Drug Co. | Pharmacy | 606 E. Emory Rd, Powell, TN 37849 | 2019-01-25 |
| 1538663281 | Black Bear Pharmacy, Inc. | Pharmacy | 110 Keith St Sw Ste 1and2, Cleveland, TN 37311-5868 | 2018-03-19 |
| 1891231734 | Rams Pharmacy LLC | Pharmacy | 1210 Hazelwood Dr Ste D, Smyrna, TN 37167-3964 | 2017-01-17 |
| 1982056529 | Pharmblue Tennessee LLC | Pharmacy | 1113 Murfreesboro Rd Ste 319-b, Franklin, TN 37064-1306 | 2016-07-07 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 37334 |
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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.