| Community Health Foundation Of Logan | |
|
Hc68 Box 1000 Suite 3 Logan WV 25601-9620 | |
| (304) 239-3888 | |
| (304) 239-3811 |
| Full Name | Community Health Foundation Of Logan |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | Hc68 Box 1000, Logan, West Virginia |
| Authorized Official Name and Position | Robert Roscoe Mays (CEO) |
| Authorized Official Contact | 3045836541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Foundation Of Logan Hc68 Box 1000 Suite 3 Logan WV 25601-9620 Ph: (304) 239-3888 | Community Health Foundation Of Logan Hc68 Box 1000 Suite 3 Logan WV 25601-9620 Ph: (304) 239-3888 |
| NPI Number | 1336106632 |
|---|---|
| Provider Enumeration Date | 04/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336106632 | NPI | - | NPPES |
| 3810004108 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (West Virginia) | Primary |
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Ovp Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 557 Main St, Logan, WV 25601 Phone: 740-752-3435 Fax: 740-753-3436 | |
Absolute Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Bridge St, Logan, WV 25601 Phone: 304-896-5025 Fax: 304-896-5058 | |
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