Organization
LINCOLN COMMUNITY HEALTH CENTER INCORPORATED
Active
Parent organization
LINCOLN COMMUNITY HEALTH CENTER INCORPORATED
Other names
JOHN H LUCAS SR WELLNESS CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
LINCOLN COMMUNITY HEALTH CENTER INCORPORATED
Authorized official
CLARETTA FOYE (CHIEF EXECUTIVE OFFICER)
(919) 956-4022
Entity
Organization
Contact information
Practice address
3727 FAYETTEVILLE ST, DURHAM, NC 27707-4718
(919) 956-4519
(919) 688-3288
Mailing address
PO BOX 52119, DURHAM, NC 27717-2119
(919) 956-4000
(919) 956-4535
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03055
NC BC/BS ID NUMBER
NC
05
—
344500A
—
NC
05
—
344500C
—
NC
Enumeration date
06/08/2006
Last updated
07/28/2022
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