Southern West Virginia Health System-

LBN: Lincoln County Primary Care Center, Inc.
Southern West Virginia Health System- is an health care organization with primary practice located at 1563 Sand Plant Rd , South Charleston WV 25309-6120. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Lincoln County Primary Care Center, Inc. can be contacted via phone (304) 756-1500, or through Leach, Lisa via phone (304) 824-5806.

Contact Information

Primary practice address
1563 Sand Plant Rd South Charleston WV 25309-6120
Phone: (304) 756-1500
Fax: (304) 756-1549
Website:
Map and Directions
Authorized official contact:
Name: Leach, Lisa
Phone: (304) 824-5806

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1457610594
LBN Legal business name Lincoln County Primary Care Center, Inc.
DBA Doing business as Southern West Virginia Health System-
Authorized official Leach, Lisa
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2012
Last updated Mar 8th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457610594 NPPES
West Virginia MEDICAID 3810025805

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