| Logan Mingo Area Mental Health | |
|
174 Lmah Center Rd Logan WV 25601-4058 | |
| (304) 792-7130 | |
| (304) 896-5184 |
| Full Name | Logan Mingo Area Mental Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 174 Lmah Center Rd, Logan, West Virginia |
| Authorized Official Name and Position | Angela L 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 Po Box 176 Logan WV 25601-0176 Ph: (304) 792-7130 | Logan Mingo Area Mental Health 174 Lmah Center Rd Logan WV 25601-4058 Ph: (304) 792-7130 |
| NPI Number | 1427522218 |
|---|---|
| Provider Enumeration Date | 01/15/2019 |
| Last Update Date | 01/28/2020 |
| Medicare PECOS PAC ID | 0840240362 |
|---|---|
| Medicare Enrollment ID | O20190620002377 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427522218 | NPI | - | NPPES |
| Provider Name | Jonathan Matthew Ellis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1083634026 PECOS PAC ID: 8224094792 Enrollment ID: I20041207000062 |
| Provider Name | Antonio Rimando Diaz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053339135 PECOS PAC ID: 1557315199 Enrollment ID: I20050308000284 |
| Provider Name | Regina A. Bias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427201060 PECOS PAC ID: 9436216843 Enrollment ID: I20090328000022 |
| Provider Name | Angel D Glick |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1144377540 PECOS PAC ID: 7214216472 Enrollment ID: I20161114000281 |
| Provider Name | Valorie Ann Patrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336632157 PECOS PAC ID: 8426307489 Enrollment ID: I20180823003350 |
| Provider Name | Ladina R Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497239487 PECOS PAC ID: 9739423872 Enrollment ID: I20181130001359 |
| Provider Name | Whitney Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760979777 PECOS PAC ID: 5991040313 Enrollment ID: I20181212003594 |
| Provider Name | Megan Leigh Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811535032 PECOS PAC ID: 2365879152 Enrollment ID: I20200217000423 |
| Provider Name | Alan Kelso Vance |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1013183268 PECOS PAC ID: 7113354283 Enrollment ID: I20200302001561 |
| Provider Name | Jennifer Lynn May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962008607 PECOS PAC ID: 5092113050 Enrollment ID: I20211006001990 |
| Provider Name | Takara Leeann Muncy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114671906 PECOS PAC ID: 2567849128 Enrollment ID: I20220519002415 |
| Provider Name | Zachary Isaac Dingess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699473959 PECOS PAC ID: 0345694691 Enrollment ID: I20230920004215 |
Carlton L W Herald Do Pc Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 Hospital Dr, Suite 100, Logan, WV 25601 Phone: 304-831-2061 Fax: 304-831-2063 | |
Southern West Virgina Health System-logan Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 122 Nick Savas Drive, Logan, WV 25601 Phone: 304-752-8081 Fax: 304-752-8083 | |
Legacy Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 214 Hanging Rock Hwy, Logan, WV 25601 Phone: 304-784-4495 Fax: 304-688-9020 | |
Main Street Family Practice, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 533 Main St, Logan, WV 25601 Phone: 304-752-3400 Fax: 304-752-8138 | |
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 | |
Living Waters Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Main Ave, Logan, WV 25601 Phone: 304-946-8350 |