Organization
COMMUNITY HEALTH AND WELLNESS PARTNERS OF LOGAN COUNTY
Active
Other names
Indian Lake School-Based Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
TARA DAWN BAIR (CEO)
(937) 599-1411
Entity
Organization
Contact information
Practice address
8920 COUNTY ROAD 91 STE 2, LEWISTOWN, OH 43333-9786
(937) 599-1411
(937) 599-4128
Mailing address
212 E COLUMBUS AVE STE 1, BELLEFONTAINE, OH 43311-2033
(937) 599-1411
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/20/2024
Last updated
05/16/2025
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