R Excellence Program
LBN: Lincoln County Primary Care Center Inc
R Excellence Program is an health care organization with primary practice located at 7400 Lynn Ave , Hamlin WV 25523-1138. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Lincoln County Primary Care Center Inc can be contacted via phone (304) 824-6337, or through Leach, Lisa via phone (304) 824-5806.
Contact Information
Primary practice address
7400 Lynn Ave
Hamlin WV 25523-1138
Phone: (304) 824-6337
Fax: (304) 824-6333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | SP0552327 | West Virginia |
Profile Details
| NPI number | 1831163906 |
|---|---|
| LBN Legal business name | Lincoln County Primary Care Center Inc |
| DBA Doing business as | R Excellence Program |
| Authorized official | Leach, Lisa RPH., PHARM. D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Mar 8th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831163906 | NPPES |
| Other | 2111572 | PK | |
| MEDICAID | 3810004371 | PK |
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