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CH03085V LINCOLN COUNTY PRIMARY CARE CENTER INC (Active)
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Main Details
Name
LINCOLN COUNTY PRIMARY CARE CENTER INC
Subdivision Name
Southern West Virginia Health System - Wharton
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036357
340B ID
CH03085V
Grant Number
H80CS00254
Additional Details
Current Program Status
Active
Registration Date
4/10/2023
Participating Start Date
5/31/2023
Participating Approval Date
4/11/2023
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
35767 Pond Fork Rd
Wharton, WV 25208
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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