| Logan-mingo Area Mental Health, Inc | |
|
174 Lmah Center Rd Logan WV 25601-4058 | |
| (304) 792-7130 | |
| (304) 896-5184 |
| Full Name | Logan-mingo Area Mental Health, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 174 Lmah Center Rd, Logan, West Virginia |
| Authorized Official Name and Position | Angela Lynn Robertson (BENEFITS COORDINATOR) |
| Authorized Official Contact | 3047927130 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Logan-mingo Area Mental Health, Inc Po Box 176 Logan WV 25601-0176 Ph: (304) 792-7130 | Logan-mingo Area Mental Health, Inc 174 Lmah Center Rd Logan WV 25601-4058 Ph: (304) 792-7130 |
| NPI Number | 1598396202 |
|---|---|
| Provider Enumeration Date | 01/31/2020 |
| Last Update Date | 01/31/2020 |
| Medicare PECOS PAC ID | 0840240362 |
|---|---|
| Medicare Enrollment ID | O20200429002732 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598396202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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