| Benjamin Logan School-based Health Center | |
|
4560 County Road 26 Ste 2 Bellefontaine OH 43311-9532 | |
| (937) 599-1411 | |
| (937) 599-4128 |
| Full Name | Benjamin Logan School-based Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 4560 County Road 26 Ste 2, Bellefontaine, Ohio |
| Authorized Official Name and Position | Andrew Hershberger (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9375991411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Logan School-based Health Center 212 E Columbus Ave Ste 1 Bellefontaine OH 43311-2033 Ph: (937) 599-1411 | Benjamin Logan School-based Health Center 4560 County Road 26 Ste 2 Bellefontaine OH 43311-9532 Ph: (937) 599-1411 |
| NPI Number | 1982360533 |
|---|---|
| Provider Enumeration Date | 11/09/2021 |
| Last Update Date | 11/15/2021 |
| Medicare PECOS PAC ID | 8022247469 |
|---|---|
| Medicare Enrollment ID | O20220317000672 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982360533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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Hickory Medical Direct Primary Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 W Columbus Ave, Bellefontaine, OH 43311 Phone: 937-404-2488 Fax: 937-404-2428 | |
Mary Rutan Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 Dowell Ave, Bellefontaine, OH 43311 Phone: 937-593-5437 Fax: 937-593-0110 | |
Bellefontaine Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 212 E Columbus Ave Ste 1, Bellefontaine, OH 43311 Phone: 937-599-1411 Fax: 937-599-4128 | |
Mary Rutan Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2231 Timber Trl, Bellefontaine, OH 43311 Phone: 937-599-3115 | |
Maple Leaf Family And Sports Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2211 Timber Trail, Bellefontaine, OH 43311 Phone: 937-592-3808 Fax: 937-593-8404 |