Organization
LINCOLN COUNTY PRIMARY CARE CENTER INC
Active
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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