| Lincoln County Primary Care Center Inc | |
|
35767 Pond Fork Rd Wharton WV 25208-0341 | |
| (304) 247-6202 | |
| (304) 247-6203 |
| Full Name | Lincoln County Primary Care Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 35767 Pond Fork Rd, Wharton, West Virginia |
| Authorized Official Name and Position | Lisa Leach (CEO) |
| Authorized Official Contact | 3048245806 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lincoln County Primary Care Center Inc 7400 Lynn Ave Hamlin WV 25523-1138 Ph: (304) 824-5806 | Lincoln County Primary Care Center Inc 35767 Pond Fork Rd Wharton WV 25208-0341 Ph: (304) 247-6202 |
| NPI Number | 1821790692 |
|---|---|
| Provider Enumeration Date | 03/17/2023 |
| Last Update Date | 03/17/2023 |
| Medicare PECOS PAC ID | 6204821879 |
|---|---|
| Medicare Enrollment ID | O20230628002506 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821790692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Wharton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 35767 Pond Fork Rd, Wharton, WV 25208 Phone: 304-247-6202 Fax: 304-247-6203 |