| Lincoln County Primary Care Center, Inc. | |
|
7400 Lynn Ave Hamlin WV 25523-1138 | |
| (304) 824-5806 | |
| (304) 824-5804 |
| Full Name | Lincoln County Primary Care Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 7400 Lynn Ave, 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. 7400 Lynn Ave Hamlin WV 25523-1138 Ph: (304) 824-5806 |
| NPI Number | 1942274543 |
|---|---|
| Provider Enumeration Date | 02/13/2006 |
| Last Update Date | 03/08/2023 |
| Certification Date | 03/08/2023 |
| Medicare PECOS PAC ID | 6204821879 |
|---|---|
| Medicare Enrollment ID | O20040415000138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942274543 | NPI | - | NPPES |
| CA9760 | Other | WV | PALMETTO GBA RAILROAD |
| 0022695001 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
| Provider Name | Shawn E Cline-riggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245234228 PECOS PAC ID: 9234127291 Enrollment ID: I20040506000415 |
| Provider Name | Courtney Kovach Reynolds |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932109444 PECOS PAC ID: 7911998984 Enrollment ID: I20040519000681 |
| Provider Name | Waylon Kincaid |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982785986 PECOS PAC ID: 7315907680 Enrollment ID: I20041012001196 |
| Provider Name | Victoria Nicole Ellis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467609149 PECOS PAC ID: 2860455714 Enrollment ID: I20041110001354 |
| Provider Name | Jerry a Quisenberry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639111768 PECOS PAC ID: 8628006145 Enrollment ID: I20050727000178 |
| Provider Name | Robert B Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457315814 PECOS PAC ID: 6608898150 Enrollment ID: I20051227000294 |
| Provider Name | Tammy L Bannister |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538129010 PECOS PAC ID: 6305868829 Enrollment ID: I20051228000176 |
| Provider Name | Zachary H Hansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902846645 PECOS PAC ID: 6002819265 Enrollment ID: I20060809000234 |
| Provider Name | Mary Rogers Aldred-crouch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326198094 PECOS PAC ID: 6305943598 Enrollment ID: I20070523000249 |
| Provider Name | Lisa Queen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992925648 PECOS PAC ID: 0547367419 Enrollment ID: I20070530000150 |
| Provider Name | Kerri Greer Donahue |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770605891 PECOS PAC ID: 0042378697 Enrollment ID: I20081025000179 |
| Provider Name | Jacqueline Ranson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134225444 PECOS PAC ID: 3678611274 Enrollment ID: I20091118000419 |
| Provider Name | Shashikant B Bhavsar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114014958 PECOS PAC ID: 3870635055 Enrollment ID: I20100127000004 |
| Provider Name | Rebel Christian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376879189 PECOS PAC ID: 1153459706 Enrollment ID: I20100503000516 |
| Provider Name | Ronny D Stollings |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932166063 PECOS PAC ID: 4385777978 Enrollment ID: I20101015000752 |
| Provider Name | George Leo Mckay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205800869 PECOS PAC ID: 5395939920 Enrollment ID: I20101027001544 |
| Provider Name | Lucia I Soltis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407017429 PECOS PAC ID: 6709073851 Enrollment ID: I20101215000390 |
| Provider Name | Philip a Galapon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033370051 PECOS PAC ID: 6507053675 Enrollment ID: I20101215000564 |
| Provider Name | Corey Greene |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174828867 PECOS PAC ID: 1254512700 Enrollment ID: I20110216001214 |
| Provider Name | Amelia J Santiago |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205871357 PECOS PAC ID: 5698957926 Enrollment ID: I20110308000823 |
| Provider Name | Christopher P Kelly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407137110 PECOS PAC ID: 9537331830 Enrollment ID: I20111011000000 |
| Provider Name | Mary J Phipps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396053484 PECOS PAC ID: 4284808890 Enrollment ID: I20111116000878 |
| Provider Name | Martin L Codispoti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265717250 PECOS PAC ID: 3274791439 Enrollment ID: I20120220001166 |
| Provider Name | Charles N Vance |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649250341 PECOS PAC ID: 6406015601 Enrollment ID: I20120307000693 |
| Provider Name | Nicholas L Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841476231 PECOS PAC ID: 2961646898 Enrollment ID: I20130916000581 |
| Provider Name | Michelle R Justice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558760264 PECOS PAC ID: 9638390131 Enrollment ID: I20141027001893 |
| Provider Name | Sidney Jerome Cline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255748166 PECOS PAC ID: 0244554368 Enrollment ID: I20150121000732 |
| Provider Name | Lisa a Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912317629 PECOS PAC ID: 8921322942 Enrollment ID: I20150122002339 |
| Provider Name | Julie a Walls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780090167 PECOS PAC ID: 2062724503 Enrollment ID: I20150711000124 |
| Provider Name | Chassity R Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871977140 PECOS PAC ID: 1153621123 Enrollment ID: I20151123001963 |
| Provider Name | Lisa G Adkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275986143 PECOS PAC ID: 5991093767 Enrollment ID: I20161011000898 |
| Provider Name | Mara Sutphin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578018214 PECOS PAC ID: 5597043000 Enrollment ID: I20161102002811 |
| Provider Name | Candice Stacy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841691821 PECOS PAC ID: 2365724622 Enrollment ID: I20170120001342 |
| Provider Name | Lorin Belcher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639694821 PECOS PAC ID: 4981979457 Enrollment ID: I20171010000033 |
| Provider Name | Jackson Barkley Austin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346763786 PECOS PAC ID: 2961768775 Enrollment ID: I20171110002456 |
| Provider Name | Rikki Lynn Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336648245 PECOS PAC ID: 9234491663 Enrollment ID: I20180324000119 |
| Provider Name | Timothy Deskins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366833576 PECOS PAC ID: 2961764394 Enrollment ID: I20180324000128 |
| Provider Name | Makenzie T Tiller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871089508 PECOS PAC ID: 8426301730 Enrollment ID: I20181101002799 |
| Provider Name | Melissa Rena Kijewski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124477138 PECOS PAC ID: 5092000695 Enrollment ID: I20190917001686 |
| Provider Name | Hannah C Steffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093362261 PECOS PAC ID: 6507197399 Enrollment ID: I20191009000761 |
| Provider Name | Leanna C Profitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386289064 PECOS PAC ID: 7911334651 Enrollment ID: I20200219000966 |
| Provider Name | Laura Mae Given |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992230262 PECOS PAC ID: 0143598656 Enrollment ID: I20200722000990 |
| Provider Name | Sarah Alice Curry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265964449 PECOS PAC ID: 1850663493 Enrollment ID: I20200826004011 |
| Provider Name | Austin Dale Tiller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235774910 PECOS PAC ID: 9537587563 Enrollment ID: I20200908002362 |
| Provider Name | Dathan L Jobe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235747106 PECOS PAC ID: 1355751850 Enrollment ID: I20201112002243 |
| Provider Name | Alyssa M Skeens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639793078 PECOS PAC ID: 5496168759 Enrollment ID: I20210105001132 |
| Provider Name | Jeremy L Mount |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679186241 PECOS PAC ID: 6608282652 Enrollment ID: I20210317000964 |
| Provider Name | Steven Lee Jarvis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114518123 PECOS PAC ID: 8729495882 Enrollment ID: I20210408000086 |
| Provider Name | Leevetta Lynn Holstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821638057 PECOS PAC ID: 1153727722 Enrollment ID: I20210907003289 |
| Provider Name | Brittany Thornhill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720794548 PECOS PAC ID: 6305201542 Enrollment ID: I20230424000620 |
| Provider Name | Zackery E Asbury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508489246 PECOS PAC ID: 4486059086 Enrollment ID: I20230713001200 |
| Provider Name | Joan Gallion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285319004 PECOS PAC ID: 1456715648 Enrollment ID: I20230906002442 |
| Provider Name | William Rollyson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326625328 PECOS PAC ID: 4688082613 Enrollment ID: I20240603001409 |
| Provider Name | Nicole Ruffner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417713819 PECOS PAC ID: 2163954090 Enrollment ID: I20241017000356 |
| Provider Name | Hannah Elisabeth Guilliams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881308740 PECOS PAC ID: 2769903160 Enrollment ID: I20250228003131 |
| Provider Name | Barbara Jean Mcnally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699591255 PECOS PAC ID: 5991228215 Enrollment ID: I20250327002135 |
| Provider Name | Haley Crum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083433049 PECOS PAC ID: 5092238782 Enrollment ID: I20250403000954 |
| Provider Name | Caroline R Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891436259 PECOS PAC ID: 1254710841 Enrollment ID: I20250822001450 |
| Provider Name | Trenton D Hayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023750064 PECOS PAC ID: 5698153690 Enrollment ID: I20250917000429 |
| Provider Name | Jaime Basham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003049388 PECOS PAC ID: 0143448753 Enrollment ID: I20251017000272 |
Lincoln Education Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10 Marland Ave, Hamlin, WV 25523 Phone: 304-824-5806 Fax: 304-824-5804 |
Bobcat Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8130 Court Ave, Hamlin, WV 25523 Phone: 304-824-5806 Fax: 304-824-5804 |
West Hamlin Elementary School Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7400 Lynn Avenue, Hamlin, WV 25523 Phone: 304-824-5806 |
Lchs Panther Center for Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 81 Lincoln Panther Way, Hamlin, WV 25523 Phone: 304-824-6090 Fax: 304-824-6094 |