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CH03085N LINCOLN COUNTY PRIMARY CARE CENTER, INC. (Active)
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Main Details
Name
LINCOLN COUNTY PRIMARY CARE CENTER, INC.
Subdivision Name
Mustang Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017671
340B ID
CH03085N
Grant Number
H80CS00254
Additional Details
Current Program Status
Active
Registration Date
4/7/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/18/2017
Last Recertification Date
2/18/2025
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
267 MIDWAY RD
ALUM CREEK, WV 25003-9591
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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April 2025
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