# COMMUNITY HEALTH AND WELLNESS PARTNERS OF LOGAN COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Riverside Community/School Based Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023874633
- **Authorized official:** KASSANDRA ROBB (REVENUE CYCLE MANAGER)
- **Authorized official phone:** (937) 599-1413

## Contact information

- **Practice address:** 320 W. MIAMI STREET, DEGRAFF, OH 43318
- **Practice address phone:** (937) 599-1411
- **Mailing address:** 212 E COLUMBUS AVE STE 1, BELLEFONTAINE, OH 43311-2033
- **Mailing address phone:** (937) 599-1411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QF0400X | Federally Qualified Health Center (FQHC) | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/22/2024
- **Last updated:** 08/14/2026