Organization
LINCOLN COUNTY PRIMARY CARE CENTER, INC
Active
Parent organization
LINCOLN COUNTY PRIMARY CARE CENTER, INC.
Other names
LCHS Panther Center for Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
LINCOLN COUNTY PRIMARY CARE CENTER, INC.
Authorized official
LISA LEACH (CEO)
(304) 824-5806
Entity
Organization
Contact information
Practice address
81 LINCOLN PANTHER WAY, HAMLIN, WV 25523-1169
(304) 824-6090
(304) 824-6094
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
—
3810011409
—
WV
01
—
CA9760
MEDICARE RR
WV
Enumeration date
10/17/2006
Last updated
03/08/2023
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