Lincoln Community Health Center Incorporated

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

LINCOLN COMMUNITY HEALTH CENTER INCORPORATED

Practice address

309 Crutchfield St
Durham, NC 27704-2754

Phone

(919) 797-1943

Fax

(919) 560-0302

NPI assigned

Jun 15, 2011

Organization subpart

Yes

Parent organization

LINCOLN COMMUNITY HEALTH CENTER INCORPORATEDAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Claretta Foye, MBA

Title

Chief Executive Officer

Phone

(919) 956-4022

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Durham Recovery Response Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Lincoln Comm Health Ctr

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristin Elizabeth Ito, M.D., M.P.H.

  • Family Medicine Physician
  • Durham, NC
  • NPI 1184652687
  NPD (past)
• Veronica J Ray, M.D.

  • Internal Medicine Physician
  • Durham, NC
  • NPI 1659314573
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1013202373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52119",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277172119",
            "telephone_number": "919-956-4000",
            "fax_number": "919-667-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 CRUTCHFIELD ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042754",
            "telephone_number": "919-797-1943",
            "fax_number": "919-560-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN COMMUNITY HEALTH CENTER INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LINCOLN COMMUNITY HEALTH CENTER INCORPORATED",
        "enumeration_date": "2011-06-15",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "FOYE",
        "authorized_official_first_name": "CLARETTA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "919-956-4022",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344500A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344500C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Durham Recovery Response Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Durham Recovery Response Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Lin, DNP
• Corinne Linardic, MDPHD
• Andrea Linares Lopez, DO
• Keri Linares, RD
• Lincare Inc.
• Lincoln Community Health Center Incorporated
• Lincoln Community Health Center Incorporated
• Lincoln Community Health Center Incorporated
• Lincoln Community Health Center Incorporated
• Lincoln Community Health Center Incorporated

• All providers in Durham, NC
• Federally Qualified Health Center (FQHC) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.