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: August 02, 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

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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
1 WILDCAT WAY
LOGAN, WV 25601
Dentist
1 WILDCAT WAY
LOGAN, WV 25601

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.

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.