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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: July 26, 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
Phone(304) 583-8585
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
Open in Google Maps ↗

Other Names 1

Other NameSouthern West Virginia Health System-man

Other Identifiers 1

Medicaid3810018665WV

Accepted Insurance

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

Other Providers at the Same Location NPPES 13

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

COMMUNITY HEALTH FOUNDATION
Dentist
600 E MCDONALD AVE
MAN, WV 25635
Logan County (304) 583-2400
HALEY CRUM FNP-BC
Nurse Practitioner (Family)
600 E MCDONALD AVE
MAN, WV 25635
Logan County (304) 583-8585
MR. CONNIE DALE COOK II PAC
Physician Assistant (Medical)
600 E MCDONALD AVE
MAN, WV 25635
Logan County (304) 583-6541
MS. ALICE CHILDERS
Radiologic Technologist
600 E MCDONALD AVE
MAN, WV 25635
Logan County (304) 583-6541
MS. MICHELLE L. TOLER
Radiologic Technologist
600 E MCDONALD AVE
MAN, WV 25635
Logan County (304) 583-6541
MRS. REGINA A. BIAS PNP-BC
Clinical Nurse Specialist (Pediatrics)
600 E MCDONALD AVE
MAN, WV 25635
Logan County (304) 583-6541
LINCOLN COUNTY PRIMARY CARE CENTER INC
Clinic/Center (Federally Qualified Health Center (FQHC))
600 E MCDONALD AVE
MAN, WV 25635
Logan County (304) 583-8585
ZACKERY ERIC ASBURY MD
Family Medicine
600 E MCDONALD AVE
MAN, WV 25635
Logan County (304) 583-8585

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.

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 with the weekly NPPES data releases published by CMS.