COMMUNITY HEALTH & WELLNESS PARTNERS OF LOGAN COUNTY NPI 1689005357

NPI Information

NPI: 1689005357
Provider Name: COMMUNITY HEALTH & WELLNESS PARTNERS OF LOGAN COUNTY
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
4879 US HIGHWAY 68 S
WEST LIBERTY, OH
ZIP 43357
Phone: (937) 599-1411
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COMMUNITY HEALTH & WELLNESS PARTNERS OF LOGAN COUNTY is a community health clinic center in West Liberty, OH. COMMUNITY HEALTH & WELLNESS PARTNERS OF LOGAN COUNTY NPI is 1689005357. The provider is registered as an organization entity type.

The provider's business location address is:

4879 US HIGHWAY 68 S
WEST LIBERTY, OH
ZIP 43357-525
Phone: (937) 599-1411
Fax: (937) 599-4128

The provider's authorized official is Tara D Bair .
The authorized official title is President/ceo and has the following contact phone number (937) 887-1013.

The enumeration date for this NPI number is 12/6/2013 and was last updated on 2/20/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QC1500X	Clinic/Center	Community Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0096025	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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