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SOUTHERN WEST VIRGINIA HEALTH SYSTEM-MADISON MEDICAL
NPI 1720586472
Clinic/Center - Federally Qualified Health Center (FQHC) in Madison, WV

Active since January 29, 2018CLIA 51D0233899 · Microscopy
471 MAIN ST, MADISON, WV 25130(304) 369-5170(304) 306-7982 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 Southern West Virginia Health System-madison Medical NPPES

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

SOUTHERN WEST VIRGINIA HEALTH SYSTEM-MADISON MEDICAL (NPI 1720586472) is a healthcare organization registered as a federally qualified health center (fqhc) in Madison, West Virginia and active in the NPI registry since January 2018. The organization holds a CLIA Microscopy certificate valid through April 11, 2028 and lists Letitia Ann Weaver, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1720586472
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLINCOLN COUNTY PRIMARY CARE CENTER INC
Location Address471 MAIN STMadison, WV 25130-1223
Mailing Address7400 Lynn AveHamlin, WV 25523-1138 · (304) 824-5806 · Fax (304) 824-5804
Phone(304) 369-5170
Fax(304) 306-7982
Organization SubpartYes
Authorized OfficialLetitia Ann WeaverCredentialing Coordinator · (304) 824-5806
Enumeration DateJanuary 29, 2018
Last NPPES UpdateMarch 8, 20232 updates tracked since enumeration
NPPES CertifiedMarch 8, 2023
✔ NPI 1720586472 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
471 MAIN ST, Madison, WV 25130
Open in Google Maps ↗

Other Names 1

Doing Business AsSouthern West Virginia Health System-madison Medical

Other Identifiers 1

Medicaid1720586472WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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) 51D0233899

Southern West Virginia Health System-Madison · Madison, WV
Active · expires Apr 11, 2028
CLIA Number51D0233899
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 12, 2026
Certificate Expiration DateApril 11, 2028
Laboratory DirectorCourtney Reynolds
Laboratory Phone(304) 369-5170
Laboratory LocationSouthern West Virginia Health System-Madison471 Main Street, Madison, WV 25130
CLIA data matches this NPI record on: Address 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 5

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

POLLY NICOLE ANDERSON PHARM D
Pharmacist
471 MAIN ST
MADISON, WV 25130
Boone County (304) 369-5170
MR. JERRY A. QUISENBERRY PA-C
Physician Assistant
471 MAIN ST
MADISON, WV 25130
Boone County (304) 369-5170
DR. CODY S COFFMAN PHARMD.
Pharmacist
471 MAIN ST
MADISON, WV 25130
Boone County (304) 369-5170
LINCOLN COUNTY PRIMARY CARE CENTER INC
Pharmacy (Community/Retail Pharmacy)
471 MAIN ST
MADISON, WV 25130
Boone County (304) 807-9208
RONNY D STOLLINGS MD
Internal Medicine
471 MAIN ST
MADISON, WV 25130
Boone County (304) 369-5170

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 1720586472. It was assigned to this organization in the NPPES registry on January 29, 2018. The provider is doing business as Southern West Virginia Health System-Madison Medical.

Where is Lincoln County Primary Care Center Inc located?

Lincoln County Primary Care Center Inc is located at 471 Main St, Madison, WV 25130. The listed phone number is (304) 369-5170.

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 51D0233899) is associated with this NPI, valid through April 11, 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 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 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.