SOUTHERN WEST VIRGINIA HEALTH SYSTEM-
NPI 1457610594
Clinic/Center - Federally Qualified Health Center (FQHC) in South Charleston, WV

Active since May 10, 2012CLIA 51D2056906 · Microscopy
1563 SAND PLANT RD, SOUTH CHARLESTON, WV 25309(304) 756-1500(304) 756-1549 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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

About Southern West Virginia Health System- NPPES

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

SOUTHERN WEST VIRGINIA HEALTH SYSTEM- (NPI 1457610594) is a healthcare organization registered as a federally qualified health center (fqhc) in South Charleston, West Virginia and active in the NPI registry since May 2012. The organization holds a CLIA Microscopy certificate valid through April 4, 2027 and lists Lisa Leach, Ceo, as its authorized official.

NPPES Registry Identity

NPI1457610594
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLINCOLN COUNTY PRIMARY CARE CENTER, INC.
Location Address1563 SAND PLANT RDSouth Charleston, WV 25309-6120
Mailing Address7400 Lynn AveHamlin, WV 25523-1138 · (304) 824-5806 · Fax (304) 824-5885
Fax(304) 756-1549
Organization SubpartNo
Authorized OfficialLisa LeachCeo · (304) 824-5806
Enumeration DateMay 10, 2012
Last NPPES UpdateMarch 8, 20232 updates tracked since enumeration
NPPES CertifiedMarch 8, 2023
✔ NPI 1457610594 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
1563 SAND PLANT RD, South Charleston, WV 25309

Other Names 1

Doing Business AsSouthern West Virginia Health System-

Other Identifiers 1

Medicaid3810025805WV

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)

Southern West Virginia Health System- 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 Southern West Virginia Health System-, which bills Medicare for the services they deliver. Of these, 2 practice at this address. 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 1114518123
1563 SAND PLANT RD
South Charleston, WV 25309
(304) 756-1500
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1124477138
1563 SAND PLANT RD
South Charleston, WV 25309
(304) 756-1500
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1932166063
471 MAIN ST
Madison, WV 25130
(304) 369-5170
✔ PECOS✔ Accepts Medicare15 mi
Family Practice
NPI 1538129010
7400 LYNN AVE
Hamlin, WV 25523
(304) 824-5806
✔ PECOS✔ Accepts Medicare18 mi
Pulmonary Disease
NPI 1770605891
7400 LYNN AVE
Hamlin, WV 25523
(304) 824-5806
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1285319004
7400 LYNN AVE
Hamlin, WV 25523
(304) 824-5806
✔ PECOS18 mi
Family Practice
NPI 1023750064
7400 LYNN AVE
Hamlin, WV 25523
(304) 824-5806
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1558760264
7400 LYNN AVE
Hamlin, WV 25523
(304) 824-5806
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1639793078
7400 LYNN AVE
Hamlin, WV 25523
(304) 824-5806
✔ PECOS✔ Accepts Medicare18 mi
Internal Medicine
NPI 1205800869
7400 LYNN AVE
Hamlin, WV 25523
(304) 824-5806
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1134225444
7400 LYNN AVE
Hamlin, WV 25523
(304) 824-5806
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1275986143
7400 LYNN AVE
Hamlin, WV 25523
(304) 824-5806
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1376879189
7400 LYNN AVE
Hamlin, WV 25523
(304) 824-5806
✔ PECOS✔ Accepts Medicare18 mi
Family Practice
NPI 1326625328
503 ROOSEVELT BLVD
Eleanor, WV 25070
(304) 586-0001
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1871977140
5322 MCCLELLAN HWY
Branchland, WV 25506
(304) 824-5707
✔ PECOS✔ Accepts Medicare22 mi
Family Practice
NPI 1891436259
5322 MCCLELLAN HWY
Branchland, WV 25506
(048) 245-7073
✔ PECOS✔ Accepts Medicare22 mi
Family Practice
NPI 1851395834
40 SHAE AVE
Chapmanville, WV 25508
(304) 855-2211
✔ PECOS✔ Accepts Medicare24 mi
Family Practice
NPI 1457315814
663 CENTRAL AVE
Barboursville, WV 25504
(304) 691-6878
✔ PECOS✔ Accepts Medicare29 mi
Nurse Practitioner
NPI 1255748166
122 NICK SAVAS DR
Logan, WV 25601
(304) 752-8081
✔ PECOS✔ Accepts Medicare32 mi
Nurse Practitioner
NPI 1336648245
122 NICK SAVAS DR
Logan, WV 25601
(304) 752-8081
✔ PECOS✔ Accepts Medicare32 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 for Provider-Performed Microscopy Procedures (PPMP) 51D2056906

Southern West Virginia Health System · Charleston, WV
Active · expires Apr 4, 2027
CLIA Number51D2056906
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 5, 2025
Certificate Expiration DateApril 4, 2027
Laboratory DirectorCourtney Reynolds
Laboratory Phone(304) 756-1500
Laboratory LocationSouthern West Virginia Health System1563 Sand Plant Road, Charleston, WV 25309
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 1457610594. It was assigned to this organization in the NPPES registry on May 10, 2012. The provider is doing business as Southern West Virginia Health System-.

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

Lincoln County Primary Care Center, Inc. is located at 1563 Sand Plant Rd, South Charleston, WV 25309. The listed phone number is (304) 756-1500.

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, 2 practice at this address. 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 for Provider-Performed Microscopy Procedures (PPMP) (number 51D2056906) is associated with this NPI, valid through April 4, 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.