1. Home
  2. Directory
  3. West Virginia
  4. South Charleston
  5. Clinic Center
  6. NPI Profile

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: July 26, 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
Phone(304) 756-1500
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
Open in Google Maps ↗

Other Names 1

Doing Business AsSouthern West Virginia Health System-

Other Identifiers 1

Medicaid3810025805WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia, UnitedHealthcare.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 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.

Other Providers at the Same Location NPPES 10

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

ADAM J BREINIG DO
Family Medicine
1563 SAND PLANT RD
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 756-1500
STEVEN LEE JARVIS APRN
Nurse Practitioner (Family)
1563 SAND PLANT RD
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 756-1500
DR. MELISSA RENA KIJEWSKI D.O.
Family Medicine
1563 SAND PLANT RD
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 756-1500
DR. ALICE MARY GAHBAUER PHARMD
Pharmacist
1563 SAND PLANT RD
CHARLESTON, WV 25309
Kanawha County (304) 756-1500
WILLIAM ANDERSON RPH
Pharmacist
1563 SAND PLANT RD
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 756-2181
LINCOLN COUNTY PRIMARY CARE CENTER INC
Pharmacy (Community/Retail Pharmacy)
1563 SAND PLANT RD
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 756-2181
JERRY SKEENES
Pharmacist
1563 SAND PLANT RD
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 756-2181
KENNETH ADKINS DO
Family Medicine
1563 SAND PLANT RD
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 756-1500

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.

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 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 with the weekly NPPES data releases published by CMS.