{"npi":"1457541229","type":"NPI-2","status":"active","name":{"display":"Lincoln County Primary Care Center, Inc.","other":[],"organization_name":"LINCOLN COUNTY PRIMARY CARE CENTER, INC.","authorised_official":"Lisa Leach"},"specialty":{"primary_taxonomy":"261QF0400X","primary_taxonomy_description":"Federally Qualified Health Center","slug":"fqhc","schema_org_specialty":"PrimaryCare","all":[{"code":"261QF0400X","description":"Federally Qualified Health Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"5304 STRAIGHT FORK ROAD","city":"GRIFFITHSVILLE","state":"WV","postal_code":"255219504","country_code":"US","phone":"3045249242","fax":"3045249241"},{"purpose":"MAILING","street_1":"7400 LYNN AVENUE","city":"HAMLIN","state":"WV","postal_code":"255231138","country_code":"US","phone":"3048245806","fax":"3048245885"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"CA9760","state":"WV","issuer":"MEDICARE RR"},{"type_code":"05","label":"Medicaid","value":"3810011411","state":"WV","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20060908000461","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"WV","pac_id":"6204821879"}]},"enumeration_date":"2007-07-27","last_updated":"2023-03-08","_meta":{"source":"NPPES","snapshot_date":"2023-03-08","doc_url":"https://findmynpi.com/api"}}