| Lincoln County Primary Care Center, Inc | |
|
81 Lincoln Panther Way Hamlin WV 25523-1169 | |
| (304) 824-6090 | |
| (304) 824-6094 |
| Full Name | Lincoln County Primary Care Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 81 Lincoln Panther Way, Hamlin, 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 Ave Hamlin WV 25523-1138 Ph: (304) 824-5806 | Lincoln County Primary Care Center, Inc 81 Lincoln Panther Way Hamlin WV 25523-1169 Ph: (304) 824-6090 |
| NPI Number | 1962583054 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 03/08/2023 |
| Medicare PECOS PAC ID | 6204821879 |
|---|---|
| Medicare Enrollment ID | O20060908000457 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962583054 | NPI | - | NPPES |
| CA9760 | Other | WV | MEDICARE RR |
| 3810011409 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Lincoln County Primary Care Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10 Marland Ave, Hamlin, WV 25523 Phone: 304-824-5806 Fax: 304-824-5804 | |
Lincoln County Primary Care Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8130 Court Ave, Hamlin, WV 25523 Phone: 304-824-5806 Fax: 304-824-5804 | |
Lincoln County Primary Care Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7400 Lynn Avenue, Hamlin, WV 25523 Phone: 304-824-5806 | |
Lincoln County Primary Care Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7400 Lynn Ave, Hamlin, WV 25523 Phone: 304-824-5806 Fax: 304-824-5804 |