Organization
LINCOLN COUNTY PRIMARY CARE CENTER, INC.
Active
Other names
Southern West Virginia Health System-
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LEACH (CEO)
(304) 824-5806
Entity
Organization
Contact information
Practice address
1563 SAND PLANT RD, SOUTH CHARLESTON, WV 25309-6120
(304) 756-1500
(304) 756-1549
Mailing address
7400 LYNN AVE, 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
—
3810025805
—
WV
Enumeration date
05/10/2012
Last updated
03/08/2023
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