Organization
LINCOLN COUNTY PRIMARY CARE CENTER INC
Active
Other names
Lincoln Education Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
LETITIA ANN WEAVER (CREDENTIALING COORDINATOR)
(304) 824-5806
Entity
Organization
Contact information
Practice address
10 MARLAND AVE, HAMLIN, WV 25523-1058
(304) 824-5806
(304) 824-5804
Mailing address
7400 LYNN AVE, HAMLIN, WV 25523-1138
(304) 824-5806
(304) 824-5804
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2410-9259
BUSINESS LICNESE
WV
Enumeration date
12/02/2021
Last updated
12/02/2021
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