Lincoln County Primary Care Center, INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Alum Creek, WV. Organization (NPI-2).
NPI number1003274580
StatusActive
Last updated in NPPESOct 2, 2018
Details
- NPI
- 1003274580
- Entity type
- Organization (NPI-2)
- Legal business name
- Lincoln County Primary Care Center, INC
- Organization subpart
- No
- Enumeration date
- Jan 29, 2016
- Last updated
- Oct 2, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | 2317-5033 | WV | Yes |
Other names
- Mustang Health Center (Doing Business As)
Practice location
267 Midway RdAlum Creek, WV 25003-9591
Phone 304-756-1007 · Fax 304-756-1010
Mailing address
7400 Lynn AveHamlin, WV 25523-1138
Phone 304-824-5806 · Fax 304-824-5885
Authorized official
Lisa Leach
Ceo
3048245806
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