LINCOLN COMMUNITY HEALTH CENTER, INCORPORATED (NPI# 1942240544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942240544 |
| Entity Type | Organization |
| Organization Name | LINCOLN COMMUNITY HEALTH CENTER, INCORPORATED |
| Other Organization Name | HEALTH CARE FOR THE HOMELESS PROGRAM |
| Practice Address |
412 Liberty St Durham NC 27701-3408 |
| Mailing Address |
Po Box 52119 Durham NC 27717-2119 |
| Practice Telephone | 9198085640 |
| Practice Fax Number | 9196828734 |
| Mailing Telephone | 9199564000 |
| Mailing Fax Number | 9196672322 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2016-10-26 |
| Authorized Official Name | PHILIP A HAREWOOD (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9199564022 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | Y |
| Parent Organization Name | LINCOLN COMMUNITY HEALTH CENTER, INCORPORATED |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 344500C | 05 | |
| NC | 344500A | 05 | |
| NC | NC BC/BS ID NUMBER | 03055 | 01 |
| Other Name | Type Code |
|---|---|
| Health Care for the Homeless Program | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598709198 | Lincoln Community Health Center, Incorporated | Clinic/Center | 1313 Halley St, Durham, NC 27707-1227 | 2006-06-15 |
| 1780631374 | Lincoln Community Health Center, Incorporated | Clinic/Center | 815 Broad St, Durham, NC 27705-4137 | 2006-05-28 |
| 1649210279 | Lincoln Community Health Center, Incorporated | Clinic/Center | 3727 Fayetteville St, Durham, NC 27707-4718 | 2006-06-08 |
| 1891742557 | Lincoln Community Health Center, Incorporated | Clinic/Center | 414 E Main St, Durham, NC 27701-3720 | 2006-05-28 |
| 1114978582 | Lincoln Community Health Center, Incorporated | Clinic/Center | 1301 Fayetteville St, Durham, NC 27707-2325 | 2006-05-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LINCOLN COMMUNITY HEALTH CENTER, INCORPORATED | 1301 Fayetteville St, Durham, NC 27707-2325 |
| Street Address |
412 LIBERTY ST |
| City | DURHAM |
| State | NC |
| Zip Code | 27701-3408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689699407 | Earl Vester Echard | Physician Assistant | 412 Liberty St, Durham, NC 27701-3408 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952956179 | Sa'naa Lenoir | Naturopath | 1213 Avondale Drive Suite 4, Durham, NC 27701 | 2019-08-05 |
| 1225682792 | Sherifat Balogun | Pharmacist | 406 Rigsbee Ave Suite 201, Durham, NC 27701 | 2019-08-01 |
| 1427575950 | Kristen Kesler Desena | Speech-Language Pathologist | 1105 Englewood Avenue, Durham, NC 27701 | 2017-08-25 |
| 1295255263 | Tiffany Claire Ashe | Social Worker | 331 W Main St Ste 308, Durham, NC 27701 | 2017-06-21 |
| 1265815096 | Colleen Hamman | Specialist/Technologist | 616 E Lawson St, Durham, NC 27701 | 2015-06-29 |
| 1366843286 | Gene Mcphaul | Counselor | 3545 Mayfair St, Durham, NC 27701 | 2014-09-10 |
| 1245652957 | Michelle Annette Underdue | Social Worker | 801 East Main Street, Suite 2-120, Durham, NC 27701 | 2014-01-15 |
| 1518306109 | Lincicome Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 300-a Northwood Circle, Durham, NC 27701 | 2013-06-18 |
| 1669754693 | Ruffin Home 2 | Assisted Living Facility | 830 N. Mangum St., Durham, NC 27701 | 2011-09-15 |
| 1609192657 | Samaritan Health Center, Inc. | Clinic/Center | 507 E. Knox Street, Durham, NC 27701 | 2010-04-15 |
| Find all providers in zip 27701 | ||||
| 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 |
|---|---|---|---|---|
| 1801295936 | Lincoln Community Health Center, Inc. | Clinic/Center | 3901 N Roxboro St Ste 101, Durham, NC 27704-2181 | 2014-08-14 |
| 1376770537 | Lincoln Community Health Center, Inc. | Clinic/Center | 401 N Driver St, Durham, NC 27703-3007 | 2009-06-16 |
| 1598709198 | Lincoln Community Health Center, Incorporated | Clinic/Center | 1313 Halley St, Durham, NC 27707-1227 | 2006-06-15 |
| 1780631374 | Lincoln Community Health Center, Incorporated | Clinic/Center | 815 Broad St, Durham, NC 27705-4137 | 2006-05-28 |
| 1013202373 | Lincoln Community Health Center, Inc. | Clinic/Center | 309 Crutchfield St, Durham, NC 27704-2754 | 2011-06-15 |
| 1649210279 | Lincoln Community Health Center, Incorporated | Clinic/Center | 3727 Fayetteville St, Durham, NC 27707-4718 | 2006-06-08 |
| 1891742557 | Lincoln Community Health Center, Incorporated | Clinic/Center | 414 E Main St, Durham, NC 27701-3720 | 2006-05-28 |
| 1114978582 | Lincoln Community Health Center, Incorporated | Clinic/Center | 1301 Fayetteville St, Durham, NC 27707-2325 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1245842178 | Gaston Family Health Services, Inc. | Clinic/Center | 144 William Ellis Dr, Advance, NC 27006-7990 | 2020-08-21 |
| 1851909444 | Gaston Family Health Services, Inc. | Clinic/Center | 302 28th Ave Ne, Hickory, NC 28601-1116 | 2020-07-20 |
| 1750999496 | Gaston Family Health Services, Inc. | Clinic/Center | 180 War Eagle Dr, Mocksville, NC 27028-6151 | 2020-07-20 |
| 1518575265 | Gaston Family Health Services, Inc. | Clinic/Center | 4675 Oxford School Rd, Claremont, NC 28610-9468 | 2020-07-20 |
| 1124636873 | Gaston Family Health Services, Inc. | Clinic/Center | 451 Catawba Valley Blvd, Hickory, NC 28602-9631 | 2020-07-20 |
| 1093323099 | Gaston Family Health Services, Inc. | Clinic/Center | 5040 E Bandys Xrd, Catawba, NC 28609-8075 | 2020-07-16 |
| 1366088957 | Gaston Family Health Services, Inc. | Clinic/Center | 497 Farmington Rd, Mocksville, NC 27028-7639 | 2019-11-19 |
| 1285270868 | Gaston Family Health Services, Inc. | Clinic/Center | 160 Martin Luther King Junior Rd, Mocksville, NC 27028 | 2019-11-19 |
| 1306481957 | Gaston Family Health Services, Inc. | Clinic/Center | 3407 Plateau Rd, Newton, NC 28658-8809 | 2019-11-07 |
| Find all providers with the same taxonomy | ||||
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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.