# COMMUNITY HEALTH FOUNDATION LOGAN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699840405
- **Authorized official:** MR. ROBERT ROSCOE MAYS III (CEO)
- **Authorized official phone:** (304) 583-6541

## Contact information

- **Practice address:** HC 68 BOX 1000, SUITE 3, LOGAN, WV 25601-9620
- **Practice address phone:** (304) 239-3888
- **Practice address fax:** (304) 239-3811
- **Mailing address:** HC 68 BOX 1000, SUITE 3, LOGAN, WV 25601-9620
- **Mailing address phone:** (304) 239-3888
- **Mailing address fax:** (304) 239-3811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 291900000X | Military Clinical Medical Laboratory | — | WV | Yes |

## Other

- **Enumeration date:** 11/21/2006
- **Last updated:** 08/22/2020