SALT ROCK MEDICAL CENTER
NPI 1942509856
Clinic/Center - Federally Qualified Health Center (FQHC) in Salt Rock, WV

Active since March 17, 2011CLIA 51D2110087 · Waiver
5490 STATE ROUTE 10, SALT ROCK, WV 25559(304) 824-5806(304) 824-5804 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

About Salt Rock Medical Center NPPES

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

SALT ROCK MEDICAL CENTER (NPI 1942509856) is a healthcare organization registered as a federally qualified health center (fqhc) in Salt Rock, West Virginia and active in the NPI registry since March 2011. The organization holds a CLIA Waiver certificate valid through March 7, 2028 and lists Lisa Leach, Ceo, as its authorized official.

NPPES Registry Identity

NPI1942509856
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLINCOLN COUNTY PRIMARY CARE CENTER, INC
Location Address5490 STATE ROUTE 10Salt Rock, WV 25559-9736
Mailing Address7400 Lynn AveHamlin, WV 25523-1138 · (304) 824-5806 · Fax (304) 824-5885
Fax(304) 824-5804
Organization SubpartNo
Authorized OfficialLisa LeachCeo · (304) 824-5806
Enumeration DateMarch 17, 2011
Last NPPES UpdateMarch 8, 20232 updates tracked since enumeration
NPPES CertifiedMarch 8, 2023
NPI 1942509856 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
5490 STATE ROUTE 10, Salt Rock, WV 25559

Other Names 1

Doing Business AsSalt Rock Medical Center

Other Identifiers 1

Medicaid3810021856WV

Accepted 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 of Waiver 51D2110087

Salt Rock Medical Center · Salt Rock, WV
Active · expires Mar 7, 2028
CLIA Number51D2110087
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 8, 2026
Certificate Expiration DateMarch 7, 2028
Laboratory DirectorCourtney Reynolds
Laboratory Phone(304) 824-5806
Laboratory LocationSalt Rock Medical Center5490 State Rt 10, Salt Rock, WV 25559
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only 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 1942509856. It was assigned to this organization in the NPPES registry on March 17, 2011. The provider is doing business as Salt Rock Medical Center.

Where is Lincoln County Primary Care Center, Inc located?

Lincoln County Primary Care Center, Inc is located at 5490 State Route 10, Salt Rock, WV 25559. The listed phone number is (304) 824-5806.

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 of Waiver (number 51D2110087) is associated with this NPI, valid through March 7, 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 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.