| Community Health & Wellness Partners Of Logan County | |
|
320 W. Miami Street De Graff OH 43318-9406 | |
| (937) 599-1411 | |
| (937) 599-4128 |
| Full Name | Community Health & Wellness Partners Of Logan County |
|---|---|
| Speciality | Clinic/Center |
| Location | 320 W. Miami Street, De Graff, Ohio |
| Authorized Official Name and Position | Tara Dawn Bair (CEO) |
| Authorized Official Contact | 9375991411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health & Wellness Partners Of Logan County 212 E Columbus Ave Ste 1 Bellefontaine OH 43311-2033 Ph: (937) 599-1411 | Community Health & Wellness Partners Of Logan County 320 W. Miami Street De Graff OH 43318-9406 Ph: (937) 599-1411 |
| NPI Number | 1447965058 |
|---|---|
| Provider Enumeration Date | 01/18/2023 |
| Last Update Date | 05/16/2025 |
| Medicare PECOS PAC ID | 8022247469 |
|---|---|
| Medicare Enrollment ID | O20230419000966 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447965058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |