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CH03085AB LINCOLN COUNTY PRIMARY CARE CENTER INC (Approved)
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Main Details
Name
LINCOLN COUNTY PRIMARY CARE CENTER INC
Subdivision Name
Van Elementary School Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-039609
340B ID
CH03085AB
Grant Number
H80CS00254
Additional Details
Current Program Status
Approved
Registration Date
4/7/2025
Participating Start Date
7/1/2025
Participating Approval Date
5/7/2025
Last Recertification Date
Contacts
Authorizing Official
Lincoln County Primary Care Center Inc.
Lisa King Leach, CEO
(304) 824-5806 Ext: 1236
Primary Contact
LINCOLN COUNTY PRIMARY CARE CENTER INC
Chris Harper, Director of Pharmacy Services
(304) 824-5806 Ext: 1237
Addresses
Street Address
338 Van High School Rd
Van, WV 25206
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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