Lincoln Medical Center

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

526 Issued in TN

Legal business name

LINCOLN MEDICAL CENTER

Practice address

106 Medical Center Blvd
Fayetteville, TN 37334-2684

Phone

(931) 438-7400

Fax

(931) 438-7404

NPI assigned

Jun 14, 2006

Organization subpart

No

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

Authorized official

Name

David Groce

Title

Chief Exec Ofc

Phone

(931) 438-7471

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• LINCOLN MEDICAL CENTER PHARMACY Doing business as

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1295778579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 MEDICAL CENTER BLVD",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373342684",
            "telephone_number": "931-438-7400",
            "fax_number": "931-438-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MEDICAL CENTER BLVD",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373342684",
            "telephone_number": "931-438-7400",
            "fax_number": "931-438-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "GROCE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CHIEF EXEC OFC",
        "authorized_official_telephone_number": "931-438-7471"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TN",
            "license": "526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2088475",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LINCOLN MEDICAL CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lincoln Al Opco LLC
• Lincoln Anesthesia Services PLLC
• Lincoln Care
• Lincoln County Vision Center
• Lincoln Ear Nose and Throat
• Lincoln Medical Center
• Lincoln Medical Center
• Lincoln Medical Center Ambulance Service
• Lincoln Medical Center Cardiology Clinic
• Lincoln Medical Center Hospitalist

• Long Term Care Pharmacy in Fayetteville, TN
• Providers in Fayetteville, TN by specialty
• Long Term Care Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.