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Contact Information

LINCOLN COUNTY PRIMARY CARE CENTER INC
1563 SAND PLANT RD
SOUTH CHARLESTON, WV25309-6120
 Phone: 304-756-2181
 Fax: 304-756-2796
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for LINCOLN COUNTY PRIMARY CARE CENTER INC

NPI Number 1376895995
LBN Legal business name LINCOLN COUNTY PRIMARY CARE CENTER INC
Authorized official LISA LEACH - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/05/2012
Last updated 03/08/2023 - About 3 years ago
Identifiers
WV License # SP0552448
WV Medicaid 3810025585
Other 2139374 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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