LINCOLN COUNTY PRIMARY CARE CENTER INC (NPI# 1790257798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790257798 |
| Entity Type | Organization |
| Organization Name | LINCOLN COUNTY PRIMARY CARE CENTER INC |
| Practice Address |
471 Main St Madison WV 25130-1223 |
| Mailing Address |
7400 Lynn Ave Hamlin WV 25523-1138 |
| Practice Telephone | 3043695170 |
| Mailing Telephone | 3048245806 |
| Mailing Fax Number | 3048245885 |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2019-01-02 |
| Authorized Official Name | LETITIA ANN WEAVER (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 3048245806 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | LICENSE | 2362-7476 | 01 |
| Other Name | Type Code |
|---|---|
| MADISON MEDICAL PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770589681 | Lincoln County Primary Care Center Inc | Pharmacy | 6 1st St, Hamlin, WV 25523-1162 | 2005-06-24 |
| 1477174035 | Lincoln County Primary Care Center Inc | Clinic/Center | 600 E Mcdonald Ave, Man, WV 25635-1023 | 2020-05-05 |
| 1467925487 | Lincoln County Primary Care Center Inc | Pharmacy | 202 Larry Joe Harless Dr, Gilbert, WV 25621 | 2019-01-03 |
| 1720586472 | Lincoln County Primary Care Center Inc | Clinic/Center | 471 Main St, Madison, WV 25130-1223 | 2018-01-29 |
| 1376895995 | Lincoln County Primary Care Center Inc | Pharmacy | 1563 Sand Plant Rd, South Charleston, WV 25309-6120 | 2012-10-05 |
| 1831163906 | Lincoln County Primary Care Center Inc | Pharmacy | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2006-02-15 |
| Street Address |
471 MAIN ST |
| City | MADISON |
| State | WV |
| Zip Code | 25130-1223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902863590 | Robert B Atkins | Family Medicine | 471 Main St, Madison, WV 25130-1223 | 2006-04-27 |
| 1235699703 | Polly Nicole Anderson | Pharmacist | 471 Main St, Madison, WV 25130-1223 | 2019-03-21 |
| 1720586472 | Lincoln County Primary Care Center Inc | Clinic/Center | 471 Main St, Madison, WV 25130-1223 | 2018-01-29 |
| 1699024232 | Cody S Coffman | Pharmacist | 471 Main St, Madison, WV 25130-1223 | 2012-08-29 |
| 1841476231 | Nicholas Lee Smith | Physician Assistant | 471 Main St, Madison, WV 25130-1223 | 2008-01-15 |
| 1639111768 | Jerry A. Quisenberry | Physician Assistant | 471 Main St, Madison, WV 25130-1223 | 2006-06-12 |
| 1932166063 | Ron D Stollings | Internal Medicine | 471 Main St, Madison, WV 25130-1223 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960957 | Sadie Vance | Technician | 1 Ave C, Madison, WV 25130 | 2020-07-30 |
| 1255940516 | Katie Adkins | Technician | 109 Ave C, Madison, WV 25130 | 2020-07-23 |
| 1386981488 | Integrated Health Care Providers, Inc. | Urology | 707 Madison Avenue, Madison, WV 25130 | 2013-01-09 |
| 1386710028 | Lisa Gaye Dolan | Registered Nurse | 69 Avenue B, Boone County of Educations, Madison, WV 25130 | 2006-11-27 |
| 1679671549 | Atkins Dds Inc | Dentist | 221 State Street, Suite 102, Madison, WV 25130 | 2006-09-21 |
| 1063446854 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 3265 Smoot Avenue, Madison, WV 25130 | 2006-07-10 |
| 1558318832 | Sriramloo Kesari | General Practice | 173 State St, Madison, WV 25130 | 2006-05-30 |
| 1689628489 | Kathy Jo Hill | Nurse Practitioner | 701 Madison Avenue, Boone Memorial Hospital, Madison, WV 25130 | 2006-05-19 |
| 1578513032 | Boone Memorial Hospital Inc | Clinic/Center | 697 Madison Avenue, Madison, WV 25130 | 2006-05-12 |
| 1770979874 | Michael Vaughn Baxter Bledsoe | Family Medicine | 701 Madison Ave, Madison, WV 25130 | 2015-04-15 |
| Find all providers in zip 25130 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487219192 | Morgan County, Georgia Hospital Authority | Pharmacy | 1740 Lions Club Road, Madison, GA 30650 | 2019-05-08 |
| 1194227694 | Dean Retail Services, Inc. | Pharmacy | 752 N High Point Rd Ste L701, Madison, WI 53717-2236 | 2018-03-01 |
| 1578955381 | Uptown Pharmacy | Pharmacy | 1042 Gluckstadt Rd, Suite D, Madison, MS 39110-6981 | 2015-03-03 |
| 1346651296 | Roundys Supermarkets Inc | Pharmacy | 6010 Cottage Grove Rd, Madison, WI 53718-1300 | 2014-05-14 |
| 1831536648 | Keystone Pharmacy, LLC | Pharmacy | 118 Weisenberger Road, Sutie #400, Madison, MS 39110 | 2013-06-03 |
| 1376885152 | Hy Vee Inc | Pharmacy | 675 S Whitney Way, Madison, WI 53711-1034 | 2013-03-20 |
| 1982943924 | District Council of Madison Inc | Pharmacy | 2033 Fish Hatchery Rd, Madison, WI 53725-9686 | 2013-02-12 |
| 1801028030 | Hy Vee Inc | Pharmacy | 3801 E Washington Ave, Madison, WI 53704-3648 | 2009-08-21 |
| 1780875955 | Walgreen Co | Pharmacy | 129 Clifty Dr, Madison, IN 47250-1601 | 2007-08-05 |
| 1225238926 | Roundys Supermarkets Inc | Pharmacy | 3650 University Ave, Madison, WI 53705-2143 | 2007-07-20 |
| Find all providers in MADISON | ||||
Please comment or provide details below to improve the information on LINCOLN COUNTY PRIMARY CARE CENTER INC.
| 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.