# COMMUNITY HEALTH AND WELLNESS PARTNERS OF LOGAN COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Indian Lake School-Based Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164287967
- **Authorized official:** TARA DAWN BAIR (CEO)
- **Authorized official phone:** (937) 599-1411

## Contact information

- **Practice address:** 8920 COUNTY ROAD 91 STE 2, LEWISTOWN, OH 43333-9786
- **Practice address phone:** (937) 599-1411
- **Practice address fax:** (937) 599-4128
- **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:** 02/20/2024
- **Last updated:** 08/14/2026