NPIMap

Organization Active NPI

Lincoln Community Health Center Incorporated

Doing business as Lincoln CHC-Durham County Human Services

  • Federally Qualified Health Center (FQHC)
  • Durham, NC
National Provider Identifier
1891742557
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
LINCOLN COMMUNITY HEALTH CENTER INCORPORATED
Doing business as
Lincoln CHC-Durham County Human Services
Practice address
414 E Main St
Durham, NC 27701-3720
Phone
(919) 560-7726
Fax
(919) 560-7687
NPI assigned
May 28, 2006
Last updated
Jul 28, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
LINCOLN COMMUNITY HEALTH CENTER INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Authorized official

Name
Claretta Foye
Title
Chief Executive Officer
Phone
(919) 956-4022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

414 E Main St
Durham, NC 27701-3720

Mailing address

PO Box 52119
Durham, NC 27717-2119
Phone (919) 956-4000

Other identifiers 3

IdentifierTypeStateIssuer
03055OtherNCNC BC/BS ID NUMBER
344500AMedicaidNC
344500CMedicaidNC

Other names 1

  • Lincoln CHC-Durham County Human Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041101000582 NC Part A Provider - Federally Qualified Health Center (FQHC) 4587642590 Practice locations: Durham, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891742557. Details of each certification follow.

Federally qualified health center certification: CCN 341885

Legal name
LINCOLN COMMUNITY HEALTH CENTER INCORPORATED
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 9, 2004
Last certification
Dec 9, 2004
Ownership / control type
Non-profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 25, 1972 in NC
Enrollment address
414E Main St
Durham, NC 27701-3720

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Lincoln Comm Health Ctr8 organizations share this tax ID, including this one
Part of
Lincoln Comm Health Ctr

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ana Velasquez Individual Corporate DirectorVolunteer Board Member Dec 1, 2020
Claudia Gabiota Zuniga Individual Corporate DirectorVolunteer Board Member Jul 1, 2022
Angel Vick-Lewis Individual Corporate DirectorVolunteer Board Member Mar 1, 2020
Kristin E Ito Individual Corporate OfficerCmo Apr 23, 2021
W-2 Managing EmployeeCmo Apr 23, 2021
Maggie Clapp Individual Corporate Director Oct 1, 2024
Ronald Williams Individual OtherBoard Member Feb 1, 2019
Lincoln Community Health Center Incorporated Organization, Durham, NC Corporation Operational/Managerial Control May 25, 1972
Elizabeth Stevens Individual Corporate DirectorVolunteer Board Member Nov 1, 2022
William Paul Seagroves Individual Corporate OfficerCfo Jun 16, 2014
W-2 Managing EmployeeCfo Jun 16, 2014
Ricky Leon Hart Individual Corporate Director Mar 1, 2025
Claretta Foye Individual Corporate OfficerCoo Jan 1, 2016
W-2 Managing EmployeeCoo Jan 1, 2016
Valarie Jarvis Individual Corporate Director Oct 1, 2024
Denise Lunsford Individual Corporate Director Mar 1, 2025
Wendy Jacobs Individual Corporate DirectorVolunteer Board Member Mar 1, 2021
Dexter Nolley Individual Corporate DirectorVolunteer Board Member Nov 1, 2019
Jose Martinez Beltran Individual Corporate Director Oct 1, 2023
Carlotta Jordan Individual OtherBoard Member Oct 1, 2018
Gregory Stephens Individual Corporate Director Jul 1, 2024
Frank Whitehead Jr. Individual Corporate Director Jul 1, 2024

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Holton ClinicDurham, NC, CCN 341950 Federally qualified health center Operational/Managerial Control Jul 1, 2009

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1891742557",
    "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": "919-956-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 E MAIN ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013720",
            "telephone_number": "919-560-7726",
            "fax_number": "919-560-7687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN COMMUNITY HEALTH CENTER INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LINCOLN COMMUNITY HEALTH CENTER  INCORPORATED",
        "enumeration_date": "2006-05-28",
        "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"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BC/BS ID NUMBER",
            "identifier": "03055",
            "state": "NC"
        },
        {
            "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": "Lincoln CHC-Durham County Human Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lincoln CHC-Durham County Human Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.