LOGAN MINGO AREA MENTAL HEALTH (NPI# 1235408121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235408121 |
| Entity Type | Organization |
| Organization Name | LOGAN MINGO AREA MENTAL HEALTH |
| Practice Address |
174 Lmah Center Rd Logan WV 25601-4058 |
| Mailing Address |
Po Box 176 Logan WV 25601-0176 |
| Practice Telephone | 3047927130 |
| Mailing Telephone | 3047927130 |
| Mailing Fax Number | 3047927138 |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2020-01-30 |
| Authorized Official Name | ANGELA LYNN ROBERTSON (BENEFITS COORDINATOR) |
| Authorized Official Telephone | 3047927130 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
11 | WV | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427522218 | Logan Mingo Area Mental Health | General Practice | 174 Lmah Center Rd, Logan, WV 25601-4058 | 2019-01-15 |
| 1437326832 | Logan Mingo Area Mental Health | Clinic/Center | 174 Lmah Center Rd, Logan, WV 25601-4058 | 2008-05-14 |
| Street Address |
174 LMAH CENTER RD |
| City | LOGAN |
| State | WV |
| Zip Code | 25601-4058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053339135 | Antonio R Diaz Jr. | Psychiatry & Neurology | 174 Lmah Center Rd, Logan, WV 25601-4058 | 2006-07-17 |
| 1215548714 | Sharon K. Jeffrey | Social Worker | 174 Lmah Center Rd, Logan, WV 25601-4058 | 2020-08-10 |
| 1598396202 | Logan-mingo Area Mental Health, Inc | Clinic/Center | 174 Lmah Center Rd, Logan, WV 25601-4058 | 2020-01-31 |
| 1811535032 | Megan Leigh Montgomery | Nurse Practitioner | 174 Lmah Center Rd, Logan, WV 25601-4058 | 2019-12-18 |
| 1427522218 | Logan Mingo Area Mental Health | General Practice | 174 Lmah Center Rd, Logan, WV 25601-4058 | 2019-01-15 |
| 1497239487 | Ladina R Fields | Nurse Practitioner | 174 Lmah Center Rd, Logan, WV 25601-4058 | 2018-09-17 |
| 1336632157 | Valorie Ann Patrick | Nurse Practitioner | 174 Lmah Center Rd, Logan, WV 25601 | 2018-06-07 |
| 1437326832 | Logan Mingo Area Mental Health | Clinic/Center | 174 Lmah Center Rd, Logan, WV 25601-4058 | 2008-05-14 |
| 1730391962 | Brianne Michelle Sperry | Counselor | 174 Lmah Center Rd, Logan, WV 25601-4058 | 2007-05-03 |
| 1285789537 | Logan-mingo Area Mental Health, Inc | Clinic/Center | 174 Lmah Center Rd, Logan, WV 25601-4058 | 2007-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689805 | Appalachian Medical LLC | Durable Medical Equipment & Medical Supplies | 218 Dingess St, Logan, WV 25601 | 2020-11-04 |
| 1184224909 | Pamela Gail Hamlin | Technician | 123 Cassick Street, Logan, WV 25601 | 2020-10-30 |
| 1134607344 | Allyson Christa Mckinney | Occupational Therapy Assistant | 55 Lmmh Center Road, Logan, WV 25601 | 2018-07-31 |
| 1841783727 | Erica Lupson | Nurse Practitioner | 3 Mile Curve, Logan, WV 25601 | 2018-06-14 |
| 1861930836 | Joseph Michael Mounts | Counselor | 312 Hudgins St, Logan, WV 25601 | 2017-02-09 |
| 1932647385 | Melissa Campbell | Occupational Therapy Assistant | Wv-10, Logan, WV 25601 | 2017-02-06 |
| 1356891659 | Brooke Bell | Pharmacist | Route 44 Holden Rd, Logan, WV 25601 | 2016-10-11 |
| 1760886469 | April Workman | Massage Therapist | 19 A Main Avenue, Logan, WV 25601 | 2014-10-09 |
| 1366889081 | Ashley Leann Dingess | Physical Therapy Assistant | 55 Logan Mingo Mental Health, Logan, WV 25601 | 2013-06-04 |
| 1528361466 | Health Care Management, LLC | Pharmacy | 369 George Kostas Drive, Logan, WV 25601 | 2010-12-15 |
| Find all providers in zip 25601 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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|---|---|---|---|---|
| 1992170443 | Usu Student Health & Wellness | Clinic/Center | 9100 Old Main Hl, Logan, UT 84322-9100 | 2015-12-09 |
| 1396369435 | Advanced Integrated Medical LLC | Clinic/Center | 1635 N 200 E, Logan, UT 84341-1913 | 2020-06-04 |
| 1285280966 | Empower Family Chiropractic LLC | Clinic/Center | 202 E 7th St, Logan, IA 51546-1349 | 2019-08-17 |
| 1881017598 | Utah State University Health Center | Clinic/Center | 850 E 1200 N, Logan, UT 84322-9100 | 2014-01-31 |
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| 1083178081 | Robert Phares Pllc | Clinic/Center | 6 N Wind Way, Morgantown, WV 26508-1117 | 2019-01-24 |
| 1174099527 | Wellness With Whitney, LLC | Clinic/Center | 1206 Virginia St E, Charleston, WV 25301-2945 | 2018-10-23 |
| 1124453964 | West Virginia Health Right, Inc. | Clinic/Center | 1520 Washington St. E., Charleston, WV 25311 | 2013-09-12 |
| 1407162696 | A E Landis Md PC | Clinic/Center | 417 Carriage Dr, Beckley, WV 25801-2805 | 2010-08-25 |
| 1306178165 | Usimc of West Virginia Medical Corporation | Clinic/Center | 3707 Buffalo Rd, Buffalo, WV 25033-9436 | 2010-02-04 |
| 1558696641 | Lab Collection Specialists, LLC | Clinic/Center | 1505 Grand Central Ave Ste 9, Vienna, WV 26105-1074 | 2009-10-07 |
| 1346458023 | Health Access, Inc. | Clinic/Center | 489 Washington Avenue, Clarksburg, WV 26301 | 2007-05-18 |
| 1952416265 | Huntington Pediatric Clinic Inc | Clinic/Center | 1448 10th Ave Ste 313, Huntington, WV 25701-3554 | 2006-08-20 |
| 1750916011 | Arvessa Skin Care Center LLC | Clinic/Center | 710 Somerset Blvd Ste 103, Charles Town, WV 25414-4998 | 2020-03-06 |
| 1093345894 | Beyond Limits Mobile Outpatient Therapy, LLC | Clinic/Center | 41 Baltusrol Dr, Charles Town, WV 25414-3884 | 2020-01-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.