LINCOLN COUNTY PRIMARY CARE CENTER, INC (NPI# 1962583054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962583054 |
| Entity Type | Organization |
| Organization Name | LINCOLN COUNTY PRIMARY CARE CENTER, INC |
| Other Organization Name | LCHS PANTHER CENTER FOR HEALTH |
| Practice Address |
81 Lincoln Panther Way Hamlin WV 25523-1169 |
| Mailing Address |
7400 Lynn Ave Hamlin WV 25523-1138 |
| Practice Telephone | 3048246090 |
| Practice Fax Number | 3048246094 |
| Mailing Telephone | 3048245806 |
| Mailing Fax Number | 3048245885 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2018-10-02 |
| Authorized Official Name | LISA LEACH (CEO) |
| Authorized Official Telephone | 3048245806 |
| Is Organization Subpart | Y |
| Parent Organization Name | LINCOLN COUNTY PRIMARY CARE CENTER, INC. |
| 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 |
|---|---|---|---|
| WV | MEDICARE RR | CA9760 | 01 |
| WV | 3810011409 | 05 |
| Other Name | Type Code |
|---|---|
| LCHS Panther Center for Health | 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 |
| 1447619416 | Lincoln County Primary Care Center, Inc | Clinic/Center | 1 Pioneer Path, Man, WV 25635-1235 | 2016-02-18 |
| Street Address |
81 LINCOLN PANTHER WAY |
| City | HAMLIN |
| State | WV |
| Zip Code | 25523-1169 |
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942274543 | Lincoln County Primary Care Center, Inc. | Clinic/Center | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2006-02-13 |
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| 1689220402 | New River Health Association, Inc. | Clinic/Center | 2 Greyhound Ln., Smithers, WV 25186 | 2019-08-16 |
| 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 |
| 1225684731 | Williamson Health & Wellness Center Inc | Clinic/Center | 1000 King Coal Hwy, Delbarton, WV 25670-9529 | 2019-08-12 |
| 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.