Organization
LINCOLN COUNTY PRIMARY CARE CENTER INC
Active
Parent organization
LINCOLN COUNTY PRIMARY CARE CENTER INC
Other names
Southern West Virginia Health System-Madison Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
LINCOLN COUNTY PRIMARY CARE CENTER INC
Authorized official
LETITIA ANN WEAVER (CREDENTIALING COORDINATOR)
(304) 824-5806
Entity
Organization
Contact information
Practice address
471 MAIN ST, MADISON, WV 25130-1223
(304) 369-5170
(304) 306-7982
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
05
—
1720586472
—
WV
Enumeration date
01/29/2018
Last updated
03/08/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us