Organization
LINCOLN COMMUNITY HEALTH CENTER INCORPORATED
Active
Parent organization
LINCOLN COMMUNITY HEALTH CENTER INCORPORATED
Other names
Health Care for the Homeless Program
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
412 LIBERTY ST, DURHAM, NC 27701-3408
(919) 808-5640
(919) 682-8734
Mailing address
PO BOX 52119, DURHAM, NC 27717-2119
(919) 956-4000
(919) 667-2322
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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