Organization
LINCOLN COUNTY PRIMARY CARE CENTER, INC
Active
Organization
LINCOLN COUNTY PRIMARY CARE CENTER, INC
Active
Other names
Southern West Virgina Health System-Logan
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LEACH (CEO)
(304) 824-5806
Entity
Organization
Contact information
Practice address
122 NICK SAVAS DRIVE, LOGAN, WV 25601-3468
(304) 752-8081
(304) 752-8083
Mailing address
7400 LYNN AVENUE, HAMLIN, WV 25523-1138
(304) 824-5806
(304) 824-5885
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810020368
—
WV
Enumeration date
03/03/2010
Last updated
03/08/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up