LINCOLN COUNTY PRIMARY CARE CENTER, INC (NPI# 1447619416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447619416 |
| Entity Type | Organization |
| Organization Name | LINCOLN COUNTY PRIMARY CARE CENTER, INC |
| Other Organization Name | PIONEER HEALTH CENTER |
| Practice Address |
1 Pioneer Path Man WV 25635-1235 |
| Mailing Address |
7400 Lynn Ave Hamlin WV 25523-1138 |
| Practice Telephone | 3045837295 |
| Practice Fax Number | 3045837436 |
| Mailing Telephone | 3048245806 |
| Mailing Fax Number | 3048245885 |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2018-10-02 |
| Authorized Official Name | LISA LECH (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) |
2318-9519 | WV | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pioneer Health Center | 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 |
| 1023331220 | Lincoln County Primary Care Center, Inc | Clinic/Center | 122 Nick Savas Drive, Logan, WV 25601-3468 | 2010-03-03 |
| 1962583054 | Lincoln County Primary Care Center, Inc | Clinic/Center | 81 Lincoln Panther Way, Hamlin, WV 25523-1169 | 2006-10-17 |
| Street Address |
1 PIONEER PATH |
| City | MAN |
| State | WV |
| Zip Code | 25635-1235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841691821 | Candice Stacy | Nurse Practitioner | 1 Pioneer Path, Man, WV 25635-1235 | 2014-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902456718 | Jennifer Lynn Fletcher | Registered Nurse | 800 East Mcdonald Avenue, Man, WV 25635 | 2019-09-13 |
| 1497122469 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 308 Huff Creek Highway, Man, WV 25635 | 2015-08-26 |
| 1053660167 | Misty Linville Collins | Pharmacist | 650 East Mcdonald Ave, Man, WV 25635 | 2012-09-05 |
| 1760551618 | Community Prescription Center Inc | Durable Medical Equipment & Medical Supplies | 124 Main St, Man, WV 25635 | 2006-11-07 |
| 1902835010 | Family Healthcare Associates Inc | Family Medicine | 114 Main Street, Man, WV 25635-0114 | 2006-07-01 |
| 1780090167 | Julie Ann Walls | Nurse Practitioner | 650 E Mcdonald Ave, Man, WV 25635-1012 | 2014-07-07 |
| 1033370051 | Philip A Galapon | Family Medicine | 650 E Mcdonald Ave, Man, WV 25635-1012 | 2008-06-23 |
| 1750363685 | Christopher Joseph Tipton | Physician Assistant | 650 E Mcdonald Ave, Man, WV 25635-1012 | 2005-11-16 |
| 1225175102 | Terri D Doss | Pharmacist | 601 E Mcdonald Ave, Prescription Center, Man, WV 25635-1022 | 2007-01-31 |
| 1184620841 | Community Health Foundation of Man Wv | Clinic/Center | 600 East Mcdonald Avenue, Man, WV 25635-1023 | 2005-06-27 |
| Find all providers in zip 25635 | ||||
| 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 |
|---|---|---|---|---|
| 1184620841 | Community Health Foundation of Man Wv | Clinic/Center | 600 East Mcdonald Avenue, Man, WV 25635-1023 | 2005-06-27 |
| 1477174035 | Lincoln County Primary Care Center Inc | Clinic/Center | 600 E Mcdonald Ave, Man, WV 25635-1023 | 2020-05-05 |
| 1689997678 | Lincoln County Primary Care Center, Inc. | Clinic/Center | 600 E Mcdonald Ave, Man, WV 25635-1023 | 2010-03-05 |
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| 1083260129 | Williamson Health & Wellness Center Inc | Clinic/Center | 300 Blue Devil Lane, Kermit, WV 25661 | 2019-08-14 |
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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.