Organization
COMMUNITY HEALTH & WELLNESS PARTNERS OF LOGAN COUNTY
Active
Parent organization
COMMUNITY HEALTH & WELLNESS PARTNERS OF LOGAN COUNTY
Other names
Indian Lake Community Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY HEALTH & WELLNESS PARTNERS OF LOGAN COUNTY
Authorized official
KASSANDRA ROBB (RCM)
(937) 599-1413
Entity
Organization
Contact information
Practice address
8200 STATE ROUTE 366 STE 1, RUSSELLS POINT, OH 43348-9670
(937) 599-1411
(937) 599-4128
Mailing address
4879 US HIGHWAY 68 S, WEST LIBERTY, OH 43357-9525
(937) 599-1411
(937) 599-4128
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/14/2019
Last updated
05/16/2025
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