Organization
LINCOLN COUNTY PRIMARY CARE CENTER, INC.
Active
Other names
West Hamlin Elementary School Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN KEITH CRIST (CEO)
(304) 824-5806
Entity
Organization
Contact information
Practice address
7400 LYNN AVENUE, HAMLIN, WV 25523
(304) 824-5806
Mailing address
7400 LYNN AVE, HAMLIN, WV 25523-1138
(304) 824-5806
(304) 824-5885
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810011410
—
WV
01
—
CA9760
MEDICARE RR
WV
Enumeration date
03/03/2008
Last updated
06/28/2012
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