Organization · Type 2 NPI

Lincoln County Primary Care Center Inc

Federally Qualified Health Center (FQHC) · Madison, WV

NPI number 1720586472 Active

Practice location

471 Main St
Madison, WV 25130-1223

Call (304) 369-5170 Map

Fax (304) 306-7982

Mailing address

7400 Lynn Ave
Hamlin, WV 25523-1138

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

5 other providers at this address

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NPI record

NPI: 1720586472
Entity type: Organization (Type 2)
Issued: Jan 29, 2018
Last updated: Mar 8, 2023
Status: Active
Subpart: Yes of Lincoln County Primary Care Center Inc

Other names

<unavail>
Southern West Virginia Health System-Madison Medical · doing business as

Authorized official

Letitia Ann Weaver
Credentialing Coordinator
(304) 824-5806

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1720586472

Lincoln County Primary Care Center Inc's National Provider Identifier is 1720586472, issued on Jan 29, 2018. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Madison, WV. The record was last updated on Mar 8, 2023.