Organization
LINCOLN COUNTY PRIMARY CARE CENTER, INC
Active
Other names
SALT ROCK MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LEACH (CEO)
(304) 824-5806
Entity
Organization
Contact information
Practice address
5490 STATE ROUTE 10, SALT ROCK, WV 25559-9736
(304) 824-5806
(304) 824-5804
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
—
3810021856
—
WV
Enumeration date
03/17/2011
Last updated
03/08/2023
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