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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
TARA D BAIR (PRESIDENT/CEO)
(937) 887-1013
Entity
Organization

Contact information

Practice address
8200 STATE ROUTE 366, SUITE NO. 1, RUSSELLS POINT, OH 43348-9670
(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)
Primary

Other

Enumeration date
03/11/2014
Last updated
05/16/2025
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