LINCOLN COUNTY PRIMARY CARE CENTER, INC.


Address: 600 E Mcdonald Ave, Man, WV 25635-1023
Phone: 3045838585

LINCOLN COUNTY PRIMARY CARE CENTER, INC. (NPI# 1689997678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689997678
Entity Type Organization
Organization Name LINCOLN COUNTY PRIMARY CARE CENTER, INC.
Other Organization Name SOUTHERN WEST VIRGINIA HEALTH SYSTEM-MAN
Practice Address 600 E Mcdonald Ave
Man
WV 25635-1023
Mailing Address 7400 Lynn Ave
Hamlin
WV 25523-1138
Practice Telephone 3045838585
Practice Fax Number 3045830129
Mailing Telephone 3048245806
Mailing Fax Number 3048245885
Enumeration Date 2010-03-05
Last Update Date 2020-05-08
Authorized Official Name LISA LEACH (CEO)
Authorized Official Telephone 3048245806
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WV 3810018665 05

Other Provider/Organization Names

Other Name Type Code
Southern West Virginia Health System-Man Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1033490149 Lincoln County Primary Care Center, Inc. Clinic/Center 5027 Helena Ave, Suite 1, Delbarton, WV 25670-1301 2011-09-01
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
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

Office Location

Street Address 600 E MCDONALD AVE
City MAN
State WV
Zip Code 25635-1023

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700880762 Rachel Leigh Stover Nurse Practitioner 600 E Mcdonald Ave, Man, WV 25635-1023 2005-06-08
1477174035 Lincoln County Primary Care Center Inc Clinic/Center 600 E Mcdonald Ave, Man, WV 25635-1023 2020-05-05
1881918837 Man Rexcellence Program Pharmacy 600 E Mcdonald Ave, Man, WV 25635-1023 2010-03-19
1427201060 Regina A. Bias Clinical Nurse Specialist 600 E Mcdonald Ave, Man, WV 25635-1023 2008-10-28
1225227549 Alice Childers Radiologic Technologist 600 E Mcdonald Ave, Man, WV 25635-1023 2007-10-23
1295924512 Michelle L. Toler Radiologic Technologist 600 E Mcdonald Ave, Man, WV 25635-1023 2007-10-23
1033205836 Community Health Foundation Dentist 600 E Mcdonald Ave, Man, WV 25635-1023 2006-10-05
1255335212 Radhakrishna M Bellam Family Medicine 600 E Mcdonald Ave, Man, WV 25635-1023 2005-06-08
1164426128 Connie Dale Cook II Physician Assistant 600 E Mcdonald Ave, Man, WV 25635-1097 2005-06-08
1700880747 Enrico V Rallos Family Medicine 600 E Mcdonald Ave, Man, WV 25635-1023 2005-06-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902456718 Jennifer Lynn Fletcher Registered Nurse 800 East Mcdonald Avenue, Man, WV 25635 2019-09-13
1497122469 Bio-medical Applications of West Virginia, Inc. Clinic/Center 308 Huff Creek Highway, Man, WV 25635 2015-08-26
1053660167 Misty Linville Collins Pharmacist 650 East Mcdonald Ave, Man, WV 25635 2012-09-05
1760551618 Community Prescription Center Inc Durable Medical Equipment & Medical Supplies 124 Main St, Man, WV 25635 2006-11-07
1902835010 Family Healthcare Associates Inc Family Medicine 114 Main Street, Man, WV 25635-0114 2006-07-01
1780090167 Julie Ann Walls Nurse Practitioner 650 E Mcdonald Ave, Man, WV 25635-1012 2014-07-07
1033370051 Philip A Galapon Family Medicine 650 E Mcdonald Ave, Man, WV 25635-1012 2008-06-23
1750363685 Christopher Joseph Tipton Physician Assistant 650 E Mcdonald Ave, Man, WV 25635-1012 2005-11-16
1225175102 Terri D Doss Pharmacist 601 E Mcdonald Ave, Prescription Center, Man, WV 25635-1022 2007-01-31
1184620841 Community Health Foundation of Man Wv Clinic/Center 600 East Mcdonald Avenue, Man, WV 25635-1023 2005-06-27
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184620841 Community Health Foundation of Man Wv Clinic/Center 600 East Mcdonald Avenue, Man, WV 25635-1023 2005-06-27
1477174035 Lincoln County Primary Care Center Inc Clinic/Center 600 E Mcdonald Ave, Man, WV 25635-1023 2020-05-05
1447619416 Lincoln County Primary Care Center, Inc Clinic/Center 1 Pioneer Path, Man, WV 25635-1235 2016-02-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801493499 Camden On Gauley Medical Center Inc Clinic/Center 52 Florence Street, Ansted, WV 25812 2020-10-06
1194339309 Community Care of West Virginia, Inc. Clinic/Center 33 E Victoria St, Buckhannon, WV 26201-2671 2020-09-04
1063048189 Community Care of West Virginia, Inc. Clinic/Center 34 N Kanawha St, Buckhannon, WV 26201-2714 2020-03-20
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
1225684731 Williamson Health & Wellness Center Inc Clinic/Center 1000 King Coal Hwy, Delbarton, WV 25670-9529 2019-08-12
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Competitor

Search similar providers

City MAN
Zip Code 25635

Improve Information

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Dataset Information

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.

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