LINCOLN COUNTY PRIMARY CARE CENTER, INC. (NPI# 1033490149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033490149 |
| Entity Type | Organization |
| Organization Name | LINCOLN COUNTY PRIMARY CARE CENTER, INC. |
| Other Organization Name | SOUTHERN WEST VIRGINIA HEALTH SYSTEM-DELBARTON |
| Practice Address |
5027 Helena Ave Suite 1 Delbarton WV 25670-1301 |
| Mailing Address |
7400 Lynn Ave Hamlin WV 25523-1138 |
| Practice Telephone | 3044751761 |
| Practice Fax Number | 3044751782 |
| Mailing Telephone | 3048245806 |
| Mailing Fax Number | 3048245885 |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2018-10-02 |
| Authorized Official Name | LISA LEACH (CEO) |
| Authorized Official Telephone | 3048245806 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810022636 | 05 |
| Other Name | Type Code |
|---|---|
| Southern West Virginia Health System-Delbarton | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841596277 | Lincoln County Primary Care Center, Inc. | Clinic/Center | 2508 Straight Fork Rd, Alkol, WV 25501 | 2011-02-02 |
| 1396052528 | Lincoln County Primary Care Center, Inc. | Clinic/Center | 506 Crawley Creek Rd, Chapmanville, WV 25508-7002 | 2010-09-09 |
| 1861662199 | Lincoln County Primary Care Center, Inc. | Clinic/Center | 7400 Lynn Avenue, Hamlin, WV 25523 | 2008-03-03 |
| 1457541229 | Lincoln County Primary Care Center, Inc. | Clinic/Center | 5304 Straight Fork Road, Griffithsville, WV 25521-9504 | 2007-07-27 |
| 1093848301 | Lincoln County Primary Care Center, Inc. | Clinic/Center | 5322 Mcclellan Hwy, Branchland, WV 25506-8725 | 2007-03-14 |
| 1457610594 | Lincoln County Primary Care Center, Inc. | Clinic/Center | 1563 Sand Plant Rd, South Charleston, WV 25309-6120 | 2012-05-10 |
| 1366723975 | Lincoln County Primary Care Center, Inc. | Clinic/Center | 1 Wildcat Way, Logan, WV 25601-3474 | 2011-09-09 |
| 1689997678 | Lincoln County Primary Care Center, Inc. | Clinic/Center | 600 E Mcdonald Ave, Man, WV 25635-1023 | 2010-03-05 |
| 1942523931 | Lincoln County Primary Care Center, Inc. | Clinic/Center | 202 Larry Joe Harless Drive, Suite 205, Gilbert, WV 25621-1842 | 2010-03-05 |
| 1255521027 | Lincoln County Primary Care Center, Inc. | Clinic/Center | 5322 Mcclellan Hwy, Branchland, WV 25506-8725 | 2007-07-27 |
| Street Address |
5027 HELENA AVE SUITE 1 |
| City | DELBARTON |
| State | WV |
| Zip Code | 25670-1301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710405 | Brandala Quinn Collins | Technician | 52 Jr Court, Varney, WV 25670 | 2020-11-03 |
| 1518572346 | Kelli Lynn Spaulding | Technician | 138 Elk Creek Road, Delbarton, WV 25670 | 2020-09-09 |
| 1144833310 | Kimberly Dawn Mahon | Technician | Rt. 1 B 317, Delbarton, WV 25670 | 2020-08-28 |
| 1932712478 | Darlis Joan Cassady | Technician | 79 Rocky Hill Road, Delbarton, WV 25670 | 2020-08-25 |
| 1184235020 | Jackie Faye Dingess | Technician | 887 Boy Scout Hollow, Delbarton, WV 25670 | 2020-08-13 |
| 1225524432 | Dora Davis Davis | Registered Nurse | 48 Mystery Mt Road, Delbarton, WV 25670 | 2018-07-11 |
| 1134184229 | Mingo Medical Associates, Inc. | Clinic/Center | Main Street, Delbarton, WV 25670 | 2006-04-20 |
| 1720043995 | Oscar P Carrillo | Family Medicine | Main Street, Delbarton, WV 25670-0728 | 2006-04-19 |
| 1780125153 | Rita Dawn Mccoy | Registered Nurse | 57 Polk St, Delbarton, WV 25670-1107 | 2017-03-17 |
| 1689109431 | Mccoy R.n. | Nursing Care | 57 Polk St, Delbarton, WV 25670-1107 | 2017-04-28 |
| Find all providers in zip 25670 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225684731 | Williamson Health & Wellness Center Inc | Clinic/Center | 1000 King Coal Hwy, Delbarton, WV 25670-9529 | 2019-08-12 |
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| 1619503422 | Change Inc | Clinic/Center | 114 Taylor Ave, Weirton, WV 26062-4635 | 2020-03-13 |
| 1861023699 | Logan-mingo Area Mental Health, Inc | Clinic/Center | 2954 Buffalo Creek Road, Chattaroy, WV 25667 | 2020-01-30 |
| 1689220402 | New River Health Association, Inc. | Clinic/Center | 2 Greyhound Ln., Smithers, WV 25186 | 2019-08-16 |
| 1740836873 | Williamson Health & Wellness Center Inc | Clinic/Center | 5 Parkway Dr, Williamson, WV 25661-3428 | 2019-08-14 |
| 1699321729 | Williamson Health & Wellness Center Inc | Clinic/Center | 50 Panther Blvd, Williamson, WV 25661-7441 | 2019-08-14 |
| 1083260129 | Williamson Health & Wellness Center Inc | Clinic/Center | 300 Blue Devil Lane, Kermit, WV 25661 | 2019-08-14 |
| 1669024469 | Womencare Inc | Clinic/Center | 150 Josephine Ave, Madison, WV 25130-1357 | 2019-07-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.