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CH03085K LINCOLN COUNTY PRIMARY CARE CENTER, INC. (Terminated)
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Main Details
Name
LINCOLN COUNTY PRIMARY CARE CENTER, INC.
Subdivision Name
West Hamlin Elementary School
Type
HRSA-Funded Health Center
Site ID
BPS-H80-007339
340B ID
CH03085K
Grant Number
H80CS00254
Additional Details
Current Program Status
Terminated
Registration Date
4/5/2013
Participating Start Date
7/1/2013
Participating Approval Date
5/28/2013
Last Recertification Date
1/26/2017
Termination Date
Termination Reason
4/1/2018
Site closure
Contacts
Authorizing Official
Lincoln County Primary Care Center Inc.
Brian K. Crist, 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
Route 1, Box 112A
West Hamlin, WV 25571-9712
Billing Address
Lincoln County Primary Care Center, INC.
7400 Lynn Ave
Hamlin, WV 25523
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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