LINCOLN COMMUNITY HEALTH CENTER INCORPORATED NPI 1013202373

NPI Information

LINCOLN COMMUNITY HEALTH CENTER INCORPORATED is a federally qualified health center (fqhc) clinic center in Durham, NC. LINCOLN COMMUNITY HEALTH CENTER INCORPORATED NPI is 1013202373. The provider is registered as an organization entity type.
The provider Is Doing Business As Durham Recovery Response Center.

The provider's business location address is:

309 CRUTCHFIELD ST
DURHAM, NC
ZIP 27704-754
Phone: (919) 797-1943
Fax: (919) 560-0302

The provider's authorized official is Claretta Foye .
The authorized official title is Chief Executive Officer and has the following contact phone number (919) 956-4022.

The CLIA number assigned to this NPI record is 34D2023498 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/15/2011 and was last updated on 7/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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