LINCOLN COUNTY PRIMARY CARE CENTER INC (NPI# 1477174035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477174035 |
| Entity Type | Organization |
| Organization Name | LINCOLN COUNTY PRIMARY CARE CENTER INC |
| Practice Address |
600 E Mcdonald Ave Man WV 25635-1023 |
| Mailing Address |
7400 Lynn Ave Hamlin WV 25523-1138 |
| Practice Telephone | 3045838585 |
| Mailing Telephone | 3048245806 |
| Mailing Fax Number | 3048245885 |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |
| Authorized Official Name | LETITIA ANN WEAVER (CREDENTIALING COORDINATOR) |
| 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 |
|---|---|
| SOUTHERN WEST VIRGINIA HEALTH SYSTEM-MAN | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770589681 | Lincoln County Primary Care Center Inc | Pharmacy | 6 1st St, Hamlin, WV 25523-1162 | 2005-06-24 |
| 1467925487 | Lincoln County Primary Care Center Inc | Pharmacy | 202 Larry Joe Harless Dr, Gilbert, WV 25621 | 2019-01-03 |
| 1790257798 | Lincoln County Primary Care Center Inc | Pharmacy | 471 Main St, Madison, WV 25130-1223 | 2019-01-02 |
| 1720586472 | Lincoln County Primary Care Center Inc | Clinic/Center | 471 Main St, Madison, WV 25130-1223 | 2018-01-29 |
| 1376895995 | Lincoln County Primary Care Center Inc | Pharmacy | 1563 Sand Plant Rd, South Charleston, WV 25309-6120 | 2012-10-05 |
| 1831163906 | Lincoln County Primary Care Center Inc | Pharmacy | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2006-02-15 |
| Street Address |
600 E MCDONALD AVE |
| City | MAN |
| State | WV |
| Zip Code | 25635-1023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700880762 | Rachel Leigh Stover | Nurse Practitioner | 600 E Mcdonald Ave, Man, WV 25635-1023 | 2005-06-08 |
| 1881918837 | Man Rexcellence Program | Pharmacy | 600 E Mcdonald Ave, Man, WV 25635-1023 | 2010-03-19 |
| 1689997678 | Lincoln County Primary Care Center, Inc. | Clinic/Center | 600 E Mcdonald Ave, Man, WV 25635-1023 | 2010-03-05 |
| 1427201060 | Regina A. Bias | Clinical Nurse Specialist | 600 E Mcdonald Ave, Man, WV 25635-1023 | 2008-10-28 |
| 1225227549 | Alice Childers | Radiologic Technologist | 600 E Mcdonald Ave, Man, WV 25635-1023 | 2007-10-23 |
| 1295924512 | Michelle L. Toler | Radiologic Technologist | 600 E Mcdonald Ave, Man, WV 25635-1023 | 2007-10-23 |
| 1033205836 | Community Health Foundation | Dentist | 600 E Mcdonald Ave, Man, WV 25635-1023 | 2006-10-05 |
| 1255335212 | Radhakrishna M Bellam | Family Medicine | 600 E Mcdonald Ave, Man, WV 25635-1023 | 2005-06-08 |
| 1164426128 | Connie Dale Cook II | Physician Assistant | 600 E Mcdonald Ave, Man, WV 25635-1097 | 2005-06-08 |
| 1700880747 | Enrico V Rallos | Family Medicine | 600 E Mcdonald Ave, Man, WV 25635-1023 | 2005-06-08 |
| Find all providers in the same location | ||||
| 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 |
| 1447619416 | Lincoln County Primary Care Center, Inc | Clinic/Center | 1 Pioneer Path, Man, WV 25635-1235 | 2016-02-18 |
| 1689997678 | Lincoln County Primary Care Center, Inc. | Clinic/Center | 600 E Mcdonald Ave, Man, WV 25635-1023 | 2010-03-05 |
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| 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 |
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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.