| Lincoln County Primary Care Center, Inc. | |
|
5304 Straight Fork Road Griffithsville WV 25521-9504 | |
| (304) 524-9242 | |
| (304) 524-9241 |
| Full Name | Lincoln County Primary Care Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 5304 Straight Fork Road, Griffithsville, West Virginia |
| Authorized Official Name and Position | Lisa Leach (CEO) |
| Authorized Official Contact | 3048245806 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lincoln County Primary Care Center, Inc. 7400 Lynn Avenue Hamlin WV 25523-1138 Ph: (304) 824-5806 | Lincoln County Primary Care Center, Inc. 5304 Straight Fork Road Griffithsville WV 25521-9504 Ph: (304) 524-9242 |
| NPI Number | 1457541229 |
|---|---|
| Provider Enumeration Date | 07/27/2007 |
| Last Update Date | 03/08/2023 |
| Medicare PECOS PAC ID | 6204821879 |
|---|---|
| Medicare Enrollment ID | O20060908000461 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457541229 | NPI | - | NPPES |
| CA9760 | Other | WV | MEDICARE RR |
| 3810011411 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |