Organization
COMMUNITY HEALTH & WELLNESS PARTNERS OF LOGAN COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA D BAIR (PRESIDENT/CEO)
(937) 887-1013
Entity
Organization
Contact information
Practice address
4879 US HIGHWAY 68 S, WEST LIBERTY, OH 43357-9525
(937) 599-1411
(937) 599-4128
Mailing address
212 E COLUMBUS AVE STE 1, BELLEFONTAINE, OH 43311-2033
(937) 599-1411
(937) 599-4128
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0096025
—
OH
Enumeration date
12/06/2013
Last updated
05/16/2025
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