LOGAN WILDCAT HEALTH CENTER
NPI 1366723975
Clinic/Center - Federally Qualified Health Center (FQHC) in Logan, WV

Active since September 09, 2011CLIA 51D2055311 · Waiver
1 WILDCAT WAY, LOGAN, WV 25601(304) 688-9949(304) 688-9953 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 8, 2023, Oct 2, 2018 (2 updates tracked since 2018).

About Logan Wildcat Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOGAN WILDCAT HEALTH CENTER (NPI 1366723975) is a healthcare organization registered as a federally qualified health center (fqhc) in Logan, West Virginia and active in the NPI registry since September 2011. The organization holds a CLIA Waiver certificate valid through March 7, 2027 and lists Lisa Leach, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366723975
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLINCOLN COUNTY PRIMARY CARE CENTER, INC.
Location Address1 WILDCAT WAYLogan, WV 25601-3474
Mailing Address7400 Lynn AveHamlin, WV 25523-1138 · (304) 824-5806 · Fax (304) 824-5804
Fax(304) 688-9953
Organization SubpartNo
Authorized OfficialLisa LeachCeo · (304) 824-5806
Enumeration DateSeptember 9, 2011
Last NPPES UpdateMarch 8, 20232 updates tracked since enumeration
NPPES CertifiedMarch 8, 2023
✔ NPI 1366723975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1 WILDCAT WAY, Logan, WV 25601

Other Names 1

Doing Business AsLogan Wildcat Health Center

Other Identifiers 2

Medicaid3810022652WV
Other51D2055311WV · Clia

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Logan Wildcat Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

31

Medicare enrollment records show 31 clinicians reassign Medicare billing to Logan Wildcat Health Center, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Nurse Practitioner18
Family Practice10
Internal Medicine2
Pulmonary Disease1

Nearest to this location (20)

See all 31
Nurse Practitioner
NPI 1255748166
122 NICK SAVAS DR
Logan, WV 25601
(304) 752-8081
✔ PECOS✔ Accepts Medicare2.9 mi
Nurse Practitioner
NPI 1336648245
122 NICK SAVAS DR
Logan, WV 25601
(304) 752-8081
✔ PECOS✔ Accepts Medicare2.9 mi
Family Practice
NPI 1851395834
40 SHAE AVE
Chapmanville, WV 25508
(304) 855-2211
✔ PECOS✔ Accepts Medicare8.9 mi
Nurse Practitioner
NPI 1245234228
650 E MCDONALD AVE
Man, WV 25635
(304) 583-8585
✔ PECOS9.5 mi
Family Practice
NPI 1508489246
600 E MCDONALD AVE
Man, WV 25635
(304) 583-8585
✔ PECOS✔ Accepts Medicare9.5 mi
Nurse Practitioner
NPI 1083433049
600 E MCDONALD AVE
Man, WV 25635
(304) 583-8585
✔ PECOS✔ Accepts Medicare9.5 mi
Nurse Practitioner
NPI 1720794548
600 E MCDONALD AVE
Man, WV 25635
(304) 583-8585
✔ PECOS9.5 mi
Nurse Practitioner
NPI 1841691821
1 PIONEER PATH
Man, WV 25635
(304) 583-7295
✔ PECOS11 mi
Nurse Practitioner
NPI 1396053484
202 LARRY JOE HARLESS DR
Gilbert, WV 25621
(304) 664-6270
✔ PECOS✔ Accepts Medicare15 mi
Internal Medicine
NPI 1932166063
471 MAIN ST
Madison, WV 25130
(304) 369-5170
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1871977140
5322 MCCLELLAN HWY
Branchland, WV 25506
(304) 824-5707
✔ PECOS✔ Accepts Medicare30 mi
Family Practice
NPI 1891436259
5322 MCCLELLAN HWY
Branchland, WV 25506
(048) 245-7073
✔ PECOS✔ Accepts Medicare30 mi
Nurse Practitioner
NPI 1275986143
7400 LYNN AVE
Hamlin, WV 25523
(304) 824-5806
✔ PECOS✔ Accepts Medicare30 mi
Nurse Practitioner
NPI 1376879189
7400 LYNN AVE
Hamlin, WV 25523
(304) 824-5806
✔ PECOS✔ Accepts Medicare30 mi
Family Practice
NPI 1538129010
7400 LYNN AVE
Hamlin, WV 25523
(304) 824-5806
✔ PECOS✔ Accepts Medicare31 mi
Pulmonary Disease
NPI 1770605891
7400 LYNN AVE
Hamlin, WV 25523
(304) 824-5806
✔ PECOS✔ Accepts Medicare31 mi
Nurse Practitioner
NPI 1285319004
7400 LYNN AVE
Hamlin, WV 25523
(304) 824-5806
✔ PECOS31 mi
Family Practice
NPI 1023750064
7400 LYNN AVE
Hamlin, WV 25523
(304) 824-5806
✔ PECOS✔ Accepts Medicare31 mi
Internal Medicine
NPI 1205800869
7400 LYNN AVE
Hamlin, WV 25523
(304) 824-5806
✔ PECOS✔ Accepts Medicare31 mi
Family Practice
NPI 1124477138
1563 SAND PLANT RD
South Charleston, WV 25309
(304) 756-1500
✔ PECOS✔ Accepts Medicare31 mi
See all 31 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D2055311

Logan Wildcat Center For Health · Logan, WV
Active · expires Mar 7, 2027
CLIA Number51D2055311
Laboratory TypeSchool/Student Health Service
Certificate Effective DateMarch 8, 2025
Certificate Expiration DateMarch 7, 2027
Laboratory DirectorCourtney Reynolds
Laboratory Phone(304) 688-9949
Laboratory LocationLogan Wildcat Center For Health1 Wildcat Way, Logan, WV 25601
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lincoln County Primary Care Center, Inc.'s NPI number?

The NPI number for Lincoln County Primary Care Center, Inc. is 1366723975. It was assigned to this organization in the NPPES registry on September 9, 2011. The provider is doing business as Logan Wildcat Health Center.

Where is Lincoln County Primary Care Center, Inc. located?

Lincoln County Primary Care Center, Inc. is located at 1 Wildcat Way, Logan, WV 25601. The listed phone number is (304) 688-9949.

What is Lincoln County Primary Care Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Lincoln County Primary Care Center, Inc. enrolled in Medicare?

Yes. Lincoln County Primary Care Center, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lincoln County Primary Care Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 31 clinicians in 4 Medicare specialties reassign their Medicare billing to Lincoln County Primary Care Center, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (18), Family Practice (10) and Internal Medicine (2). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Lincoln County Primary Care Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D2055311) is associated with this NPI, valid through March 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lincoln County Primary Care Center, Inc. accept?

Health plans from CareSource, Highmark Blue Cross Blue Shield West Virginia and UnitedHealthcare list Lincoln County Primary Care Center, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lincoln County Primary Care Center, Inc. was last updated on March 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.