COMMUNITY HEALTH & WELLNESS PARTNERS OF LOGAN COUNTY (NPI# 1083215875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083215875 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH & WELLNESS PARTNERS OF LOGAN COUNTY |
| Practice Address |
7208 Us Highway 68 N Ste 2 West Liberty OH 43357-9663 |
| Mailing Address |
4879 Us Highway 68 S West Liberty OH 43357-9525 |
| Practice Telephone | 9375991411 |
| Practice Fax Number | 9375994128 |
| Mailing Telephone | 9375991411 |
| Mailing Fax Number | 9375994128 |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |
| Authorized Official Name | TARA DAWN BAIR (CEO) |
| Authorized Official Telephone | 9375991411 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY HEALTH & WELLNESS PARTNERS OF LOGAN COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| West Liberty Salem Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295294890 | Community Health & Wellness Partners of Logan County | Clinic/Center | 8200 State Route 366 Ste 1, Russells Point, OH 43348-9670 | 2019-03-14 |
| 1497214001 | Community Health & Wellness Partners of Logan County | Clinic/Center | 212 E Columbus Ave Ste 1, Bellefontaine, OH 43311-2033 | 2019-03-14 |
| 1679032353 | Community Health & Wellness Partners of Logan County | Clinic/Center | 4879 Us Highway 68 S, West Liberty, OH 43357-9525 | 2019-03-13 |
| 1336649599 | Community Health & Wellness Partners of Logan County | Clinic/Center | 212 E Columbus Ave Ste 1, Bellefontaine, OH 43311 | 2018-02-14 |
| 1962828293 | Community Health & Wellness Partners of Logan County | Clinic/Center | 8200 State Route 366, Suite No. 1, Russells Point, OH 43348-9670 | 2014-03-11 |
| 1689005357 | Community Health & Wellness Partners of Logan County | Clinic/Center | 4879 Us Highway 68 S, West Liberty, OH 43357-9525 | 2013-12-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY HEALTH & WELLNESS PARTNERS OF LOGAN COUNTY | 212 E Columbus Ave, Bellefontaine, OH 43311-2033 |
| Street Address |
7208 US HIGHWAY 68 N STE 2 |
| City | WEST LIBERTY |
| State | OH |
| Zip Code | 43357-9663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013473131 | Timothy Ronald Moebs | Counselor | 1521 North Detroit Street, West Liberty, OH 43357 | 2019-02-13 |
| 1083895395 | Kimmy Goyal | Clinic/Center | 4879 Us Route 68 South, West Liberty, OH 43357 | 2007-11-15 |
| 1871708446 | Penny Dawniel Baker | Family Medicine | 4879 U.S. 68 South, West Liberty, OH 43357 | 2007-05-14 |
| 1164570917 | Rex D. Huffer | Chiropractor | 128 North Detroit Street, West Liberty, OH 43357 | 2007-01-08 |
| 1578628962 | West Liberty Ems | Ambulance | 112 East Newell Street, West Liberty, OH 43357 | 2006-12-26 |
| 1689758849 | C & R Pharmacy, LLC | Pharmacy | 204 N Detroit St, West Liberty, OH 43357 | 2006-10-24 |
| 1871603563 | Steven Alan Grothaus | Internal Medicine | 4879 Sr 68 South, West Liberty, OH 43357 | 2006-08-30 |
| 1942720511 | Joshua Lee Bryant | Nurse Practitioner | 4879 Us Route 68 South, West Liberty, OH 43357 | 2017-06-23 |
| 1285173179 | Kenneth Stahl | Counselor | 4879 Us Highway 68 S, West Liberty, OH 43357 | 2017-02-13 |
| 1497000343 | Amanda M Fava | Social Worker | 414 N Detroit St, West Liberty, OH 43357 | 2012-07-17 |
| Find all providers in zip 43357 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770053944 | Case Western Reserve University | Clinic/Center | 2145 Adelbert Road - University Health Service, Cleveland, OH 44106-4901 | 2018-11-30 |
| 1306329792 | Amazing Creations, LLC. | Clinic/Center | 316 N Michigan St # 238, Toledo, OH 43604-5667 | 2018-09-11 |
| 1265898134 | Complete Care | Clinic/Center | 1310 S Danley Sq, Lorain, OH 44052-2259 | 2016-01-07 |
| 1912106519 | The College of Wooster | Clinic/Center | 570 E. Wayne Avenue, Wooster, OH 44691 | 2007-07-13 |
| 1831230184 | Dayton Public Schools | Clinic/Center | 115 S Ludlow St, Dayton, OH 45402-1812 | 2007-02-09 |
| 1730157272 | Baldwin Wallace University | Clinic/Center | 207 Beech St, Berea, OH 44017-2088 | 2006-03-10 |
| 1396710679 | University of Cincinnati | Clinic/Center | University of Cincinnati/university Health Service, 1007 Holmes Hospital, Cincinnati, OH 45267-0460 | 2006-02-21 |
| 1023090974 | Cleveland State University Health and Wellness Services | Clinic/Center | 2121 Euclid Ave, Un 263, Cleveland, OH 44115-2214 | 2005-11-16 |
| 1396373122 | Lisa Coleman | Clinic/Center | 370 W 9th Ave, Columbus, OH 43210-1238 | 2020-03-28 |
| 1528693652 | Madonna Enwe | Clinic/Center | 370 W 9th Ave, Columbus, OH 43210-1238 | 2020-03-09 |
| Find all providers with the same taxonomy | ||||
| City | WEST LIBERTY |
| Zip Code | 43357 |
Please comment or provide details below to improve the information on COMMUNITY HEALTH & WELLNESS PARTNERS OF LOGAN COUNTY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.