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CH03085Z LINCOLN COUNTY PRIMARY CARE CENTER INC (Approved)
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Main Details
Name
LINCOLN COUNTY PRIMARY CARE CENTER INC
Subdivision Name
Southern West Virginia Health System - Chapmanville
Type
HRSA-Funded Health Center
Site ID
BPS-H80-039679
340B ID
CH03085Z
Grant Number
H80CS00254
Additional Details
Current Program Status
Approved
Registration Date
4/10/2025
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
40 Shae Ave
Chapmanville, WV 25508-9805
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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