SOUTHERN WEST VIRGINIA HEALTH SYSTEM-MAN
NPI 1689997678
Clinic/Center - Federally Qualified Health Center (FQHC) in Man, WV

Active since March 05, 2010CLIA 51D2004677 · Microscopy
600 E MCDONALD AVE, MAN, WV 25635(304) 583-8585(304) 583-0129 Get Directions Write a Review

NPPES record last updated: May 8, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 8, 2020, Apr 1, 2020, Oct 2, 2018 (3 updates tracked since 2018).

About Southern West Virginia Health System-man NPPES

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

SOUTHERN WEST VIRGINIA HEALTH SYSTEM-MAN (NPI 1689997678) is a healthcare organization registered as a federally qualified health center (fqhc) in Man, West Virginia and active in the NPI registry since March 2010. The organization holds a CLIA Microscopy certificate valid through March 9, 2028 and lists Lisa Leach, Ceo, as its authorized official.

NPPES Registry Identity

NPI1689997678
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLINCOLN COUNTY PRIMARY CARE CENTER, INC.
Location Address600 E MCDONALD AVEMan, WV 25635-1023
Mailing Address7400 Lynn AveHamlin, WV 25523-1138 · (304) 824-5806 · Fax (304) 824-5885
Fax(304) 583-0129
Organization SubpartNo
Authorized OfficialLisa LeachCeo · (304) 824-5806
Enumeration DateMarch 5, 2010
Last NPPES UpdateMay 8, 20203 updates tracked since enumeration
NPPES CertifiedMay 8, 2020
✔ NPI 1689997678 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
600 E MCDONALD AVE, Man, WV 25635

Other Names 1

Other NameSouthern West Virginia Health System-man

Other Identifiers 1

Medicaid3810018665WV

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-man is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

44

Medicare enrollment records show 44 clinicians reassign Medicare billing to Southern West Virginia Health System-Man, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 8 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nurse Practitioner24
Family Practice14
Internal Medicine2
Pediatric Medicine2
Clinical Social Worker1
Pulmonary Disease1

Nearest to this location (20)

See all 44
Nurse Practitioner
NPI 1720794548
600 E MCDONALD AVE
Man, WV 25635
(304) 583-8585
✔ PECOSSame address
Family Practice
NPI 1508489246
600 E MCDONALD AVE
Man, WV 25635
(304) 583-8585
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1083433049
600 E MCDONALD AVE
Man, WV 25635
(304) 583-8585
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1245234228
650 E MCDONALD AVE
Man, WV 25635
(304) 583-8585
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1841691821
1 PIONEER PATH
Man, WV 25635
(304) 583-7295
✔ PECOS1.8 mi
Nurse Practitioner
NPI 1396053484
202 LARRY JOE HARLESS DR
Gilbert, WV 25621
(304) 664-6270
✔ PECOS✔ Accepts Medicare8.1 mi
Pediatric Medicine
NPI 1205871357
202 LARRY JOE HARLESS DRIVE, SUITE 205
Gilbert, WV 25621
(304) 664-6270
✔ PECOS9.1 mi
Nurse Practitioner
NPI 1780090167
149 JERRY WEST HWY STE 2A
Logan, WV 25601
(304) 752-5100
✔ PECOS✔ Accepts Medicare9.8 mi
Nurse Practitioner
NPI 1265717250
122 NICK SAVAS DR
Logan, WV 25601
(304) 752-8081
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1336648245
122 NICK SAVAS DR
Logan, WV 25601
(304) 752-8081
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1255748166
122 NICK SAVAS DR
Logan, WV 25601
(304) 752-8081
✔ PECOS✔ Accepts Medicare12 mi
Family Practice
NPI 1114014958
26 TRINTY LANE
Oceana, WV 24870
(304) 682-6246
✔ PECOS✔ Accepts Medicare15 mi
Internal Medicine
NPI 1932166063
471 MAIN ST
Madison, WV 25130
(304) 369-5170
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1821638057
10008 COAL RIVER RD
Seth, WV 25181
(304) 837-3399
✔ PECOS✔ Accepts Medicare29 mi
Nurse Practitioner
NPI 1114518123
1563 SAND PLANT RD
South Charleston, WV 25309
(304) 756-1500
✔ PECOS✔ Accepts Medicare37 mi
Family Practice
NPI 1124477138
1563 SAND PLANT RD
South Charleston, WV 25309
(304) 756-1500
✔ PECOS✔ Accepts Medicare37 mi
Pulmonary Disease
NPI 1770605891
7400 LYNN AVE
Hamlin, WV 25523
(304) 824-5806
✔ PECOS✔ Accepts Medicare39 mi
Internal Medicine
NPI 1205800869
7400 LYNN AVE
Hamlin, WV 25523
(304) 824-5806
✔ PECOS✔ Accepts Medicare39 mi
Clinical Social Worker
NPI 1326198094
1 KENTON DR STE 200
Charleston, WV 25311
(304) 513-3495
✔ PECOS✔ Accepts Medicare46 mi
Pediatric Medicine
NPI 1003049388
1600 MEDICAL CENTER DR STE 3500
Huntington, WV 25701
(304) 691-1300
✔ PECOS✔ Accepts Medicare55 mi
See all 44 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) 51D2004677

Southern West Virginia Health System-Man · Man, WV
Active · expires Mar 9, 2028
CLIA Number51D2004677
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 10, 2026
Certificate Expiration DateMarch 9, 2028
Laboratory DirectorCourtney Reynolds
Laboratory Phone(304) 583-8585
Laboratory LocationSouthern West Virginia Health System-Man650 East Mcdonald Avenue, Man, WV 25635
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 1689997678. It was assigned to this organization in the NPPES registry on March 5, 2010. The provider is also known as Southern West Virginia Health System-Man.

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

Lincoln County Primary Care Center, Inc. is located at 600 E Mcdonald Ave, Man, WV 25635. The listed phone number is (304) 583-8585.

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), 44 clinicians in 6 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 (24), Family Practice (14) and Internal Medicine (2). Of these, 3 practice at this address and 8 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 for Provider-Performed Microscopy Procedures (PPMP) (number 51D2004677) is associated with this NPI, valid through March 9, 2028. 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 and Highmark Blue Cross Blue Shield West Virginia 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 May 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.