LINCOLN COMMUNITY HEALTH CENTER, INC. (NPI# 1801295936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801295936 |
| Entity Type | Organization |
| Organization Name | LINCOLN COMMUNITY HEALTH CENTER, INC. |
| Other Organization Name | LIVE WELL PRIMARY CARE CLINIC |
| Practice Address |
3901 N Roxboro St Ste 101 Durham NC 27704-2181 |
| Mailing Address |
Po Box 52119 Durham NC 27717-2119 |
| Practice Telephone | 9192961758 |
| Mailing Telephone | 9199564000 |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2020-11-03 |
| Authorized Official Name | MR. PHILIP A HAREWOOD (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9199564022 |
| Is Organization Subpart | Y |
| Parent Organization Name | LINCOLN COMMUNITY HEALTH CENTER, INC. |
| 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 Name | Type Code |
|---|---|
| Live Well Primary Care Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376770537 | Lincoln Community Health Center, Inc. | Clinic/Center | 401 N Driver St, Durham, NC 27703-3007 | 2009-06-16 |
| 1013202373 | Lincoln Community Health Center, Inc. | Clinic/Center | 309 Crutchfield St, Durham, NC 27704-2754 | 2011-06-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LINCOLN COMMUNITY HEALTH CENTER, INCORPORATED | 1301 Fayetteville St, Durham, NC 27707-2325 |
| Street Address |
3901 N ROXBORO ST STE 101 |
| City | DURHAM |
| State | NC |
| Zip Code | 27704-2181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723139 | Devang Ashokbhai Patel | Dentist | 2609 N Duke St Ste 618, Durham, NC 27704 | 2018-06-14 |
| 1891201042 | Little Family Care Home, LLC | Custodial Care Facility | 1012 Davinci Street, Durham, NC 27704 | 2017-12-26 |
| 1033625702 | Tondra A Little | Social Worker | 2804 Nellowood Street, Durham, NC 27704 | 2017-12-18 |
| 1437502408 | Jhazmere Shamas Preston | Counselor | 2609 N. Duke St. Suite 403, Durham, NC 27704 | 2016-07-14 |
| 1649626656 | Professional Elevations Pllc | Case Manager/Care Coordinator | 304 Crutchfield Drive, Durham, NC 27704 | 2016-05-09 |
| 1083071617 | Alyssa Wilson | Speech-Language Pathologist | 215 William Penn Plz Apt 908, Durham, NC 27704 | 2016-01-27 |
| 1932565124 | Arthur Reynolds Jr and Associates P.l.l.c. | Dentist | 2106 N Duke St, Durham, NC 27704 | 2016-01-05 |
| 1962877720 | Chimere Brooks | Contractor | 4001meriwether Drive Apt P-19, Durham, NC 27704 | 2015-12-04 |
| 1184013294 | Danielle King | Physician Assistant | 3611 N Duke Street, Durham, NC 27704 | 2015-01-13 |
| 1730581901 | Images, 'of Me To You' | Community/Behavioral Health | 2823 Cascadilla Street, Durham, NC 27704 | 2014-09-19 |
| Find all providers in zip 27704 | ||||
| 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 |
|---|---|---|---|---|
| 1376770537 | Lincoln Community Health Center, Inc. | Clinic/Center | 401 N Driver St, Durham, NC 27703-3007 | 2009-06-16 |
| 1598709198 | Lincoln Community Health Center, Incorporated | Clinic/Center | 1313 Halley St, Durham, NC 27707-1227 | 2006-06-15 |
| 1942240544 | Lincoln Community Health Center, Incorporated | Clinic/Center | 412 Liberty St, Durham, NC 27701-3408 | 2006-06-08 |
| 1780631374 | Lincoln Community Health Center, Incorporated | Clinic/Center | 815 Broad St, Durham, NC 27705-4137 | 2006-05-28 |
| 1013202373 | Lincoln Community Health Center, Inc. | Clinic/Center | 309 Crutchfield St, Durham, NC 27704-2754 | 2011-06-15 |
| 1649210279 | Lincoln Community Health Center, Incorporated | Clinic/Center | 3727 Fayetteville St, Durham, NC 27707-4718 | 2006-06-08 |
| 1891742557 | Lincoln Community Health Center, Incorporated | Clinic/Center | 414 E Main St, Durham, NC 27701-3720 | 2006-05-28 |
| 1114978582 | Lincoln Community Health Center, Incorporated | Clinic/Center | 1301 Fayetteville St, Durham, NC 27707-2325 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799667 | Bakersville Community Medical Clinic, Inc | Clinic/Center | 71 Blue Ridge Ln, Burnsville, NC 28714-7270 | 2020-10-30 |
| 1245842178 | Gaston Family Health Services, Inc. | Clinic/Center | 144 William Ellis Dr, Advance, NC 27006-7990 | 2020-08-21 |
| 1851909444 | Gaston Family Health Services, Inc. | Clinic/Center | 302 28th Ave Ne, Hickory, NC 28601-1116 | 2020-07-20 |
| 1750999496 | Gaston Family Health Services, Inc. | Clinic/Center | 180 War Eagle Dr, Mocksville, NC 27028-6151 | 2020-07-20 |
| 1518575265 | Gaston Family Health Services, Inc. | Clinic/Center | 4675 Oxford School Rd, Claremont, NC 28610-9468 | 2020-07-20 |
| 1124636873 | Gaston Family Health Services, Inc. | Clinic/Center | 451 Catawba Valley Blvd, Hickory, NC 28602-9631 | 2020-07-20 |
| 1093323099 | Gaston Family Health Services, Inc. | Clinic/Center | 5040 E Bandys Xrd, Catawba, NC 28609-8075 | 2020-07-16 |
| 1366088957 | Gaston Family Health Services, Inc. | Clinic/Center | 497 Farmington Rd, Mocksville, NC 27028-7639 | 2019-11-19 |
| 1285270868 | Gaston Family Health Services, Inc. | Clinic/Center | 160 Martin Luther King Junior Rd, Mocksville, NC 27028 | 2019-11-19 |
| 1306481957 | Gaston Family Health Services, Inc. | Clinic/Center | 3407 Plateau Rd, Newton, NC 28658-8809 | 2019-11-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LINCOLN COMMUNITY HEALTH 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.