LINCOLN COUNTY PRIMARY CARE CENTER INC (NPI# 1831163906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831163906 |
| Entity Type | Organization |
| Organization Name | LINCOLN COUNTY PRIMARY CARE CENTER INC |
| Other Organization Name | R EXCELLENCE PROGRAM |
| Practice Address |
7400 Lynn Ave Hamlin WV 25523-1138 |
| Practice Telephone | 3048246337 |
| Practice Fax Number | 3048246333 |
| Mailing Telephone | 3048246337 |
| Mailing Fax Number | 3048246333 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | LISA LEACH (CEO) |
| Authorized Official Telephone | 3048245806 |
| Authorized Official Credential | RPH., PHARM. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
SP0552327 | WV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810004371 | 05 | |
| PK | 2111572 | 01 |
| Other Name | Type Code |
|---|---|
| R EXCELLENCE PROGRAM | 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 |
| 1477174035 | Lincoln County Primary Care Center Inc | Clinic/Center | 600 E Mcdonald Ave, Man, WV 25635-1023 | 2020-05-05 |
| 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 |
| 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 | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1245831601 | Ritchie Community Pharmacy | Pharmacy | 138 Cherry St, Harrisville, WV 26362 | 2020-11-03 |
| 1396342150 | Stephen Claude Shrewsberry | Pharmacy | 240 Sweet Grass Ct, Rock, WV 24747-9542 | 2020-10-05 |
| 1477150241 | Tyler Alan Bailey | Pharmacy | 700 Professional Park Dr, Summersville, WV 26651-2000 | 2020-10-05 |
| 1629684162 | Fast & Friendly Pharmacy Buckhannon LLC | Pharmacy | 57 N Locust St, Buckhannon, WV 26201-2231 | 2020-09-21 |
| 1336754647 | Smph LLC | Pharmacy | 5759 Williamsport Pike, Suite 105, Falling Waters, WV 25419 | 2020-09-14 |
| 1063043891 | Whitesville Family Pharmacy, Inc | Pharmacy | 38800 Coal River Rd, Whitesville, WV 25209 | 2020-01-30 |
| 1992344568 | Mountain Valley LLC | Pharmacy | 827 Fairmont Rd Ste 104, Morgantown, WV 26501-3857 | 2019-12-31 |
| 1366080699 | Freedom Pharmacy | Pharmacy | 1520 Main St E, Oak Hill, WV 25901-2745 | 2019-12-17 |
| 1386288264 | Bfprx LLC | Pharmacy | 198 Morgantown St Ste 1, Bruceton Mills, WV 26525-5003 | 2019-11-04 |
| 1881235273 | Bison Rx Inc. | Pharmacy | 20442 Charleston Rd, Buffalo, WV 25033 | 2019-10-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LINCOLN COUNTY PRIMARY CARE CENTER INC.
| 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.