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LINCOLN COMMUNITY HEALTH CENTER INCORPORATED NPI 1801295936


NPI Information

NPI: 1801295936
Provider Name: LINCOLN COMMUNITY HEALTH CENTER INCORPORATED

Doing Business As: LIVE WELL PRIMARY CARE CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 34D2296557

Address:
3901 N ROXBORO ST STE 101
DURHAM, NC
ZIP 27704
Phone: (919) 296-1758
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LINCOLN COMMUNITY HEALTH CENTER INCORPORATED is a federally qualified health center (fqhc) clinic center in Durham, NC. LINCOLN COMMUNITY HEALTH CENTER INCORPORATED NPI is 1801295936. The provider is registered as an organization entity type.
The provider Is Doing Business As Live Well Primary Care Clinic.

The provider's business location address is:

3901 N ROXBORO ST STE 101
DURHAM, NC
ZIP 27704-181
Phone: (919) 296-1758

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 34D2296557 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/14/2014 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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