LOGAN-MINGO AREA MENTAL HEALTH, INC (NPI# 1861023699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861023699 |
| Entity Type | Organization |
| Organization Name | LOGAN-MINGO AREA MENTAL HEALTH, INC |
| Practice Address |
2954 Buffalo Creek Road Chattaroy WV 25667 |
| Mailing Address |
Po Box 176 Logan WV 25601-0176 |
| Practice Telephone | 3047927130 |
| Mailing Telephone | 3047927130 |
| Mailing Fax Number | 3048965184 |
| Enumeration Date | 2020-01-30 |
| 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 | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598396202 | Logan-mingo Area Mental Health, Inc | Clinic/Center | 174 Lmah Center Rd, Logan, WV 25601-4058 | 2020-01-31 |
| 1285789537 | Logan-mingo Area Mental Health, Inc | Clinic/Center | 174 Lmah Center Rd, Logan, WV 25601-4058 | 2007-01-25 |
| Street Address |
2954 BUFFALO CREEK ROAD |
| City | CHATTAROY |
| State | WV |
| Zip Code | 25667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467127 | Dana Rae Ratliff | Technician | 1203 Litton Hollow Road, Chattaroy, WV 25667 | 2020-11-02 |
| 1750992905 | Joyce Melissa Spradlin | Technician | 101 Bee Street, Chattaroy, WV 25667 | 2020-08-12 |
| 1417093881 | Lilian Thambidurai | Psychiatry & Neurology | 2954 Buffalo Creek Rd, Chattaroy, WV 25667 | 2007-01-30 |
| 1356488431 | Donna Cooke | Psychologist | 2954 Buffalo Creek Rd, Chattaroy, WV 25667 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053895649 | Aspen Bowen | Massage Therapist | 36012 N Milan Elk Rd, Chattaroy, WA 99003-8610 | 2018-09-19 |
| 1902304108 | Spokane County Fire District 4 | Ambulance | 3219 E Chattaroy Rd, Chattaroy, WA 99003-8834 | 2018-01-23 |
| 1679928360 | Jeffrey Allen Thompson | Optometrist | 27504 N Riverway Rd, Chattaroy, WA 99003-8659 | 2016-04-29 |
| 1982069290 | Landon Jay Rencher, D.d.s., P.l.l.c. | Dentist | 34705 N Newport Hwy Ste B, Chattaroy, WA 99003-7811 | 2015-12-31 |
| 1821472424 | Suzanna Toews | Social Worker | 35516 N Dunn Rd, Chattaroy, WA 99003-7726 | 2015-07-13 |
| 1093101016 | Ashley Nicole Roth | Counselor | 34515 N Newport Hwy, Chattaroy, WA 99003-9734 | 2015-04-07 |
| 1598185423 | Barbara Bates | Pharmacist | 7102 E Big Meadows Rd, Chattaroy, WA 99003-8500 | 2014-04-17 |
| 1700200011 | Stonewall Residential Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 28921 N. River Estates, Chattaroy, WA 99003 | 2014-02-06 |
| 1164772018 | Kristi Alana Conley | Community Health Worker | 13011 E Deer Creek Rd, Chattaroy, WA 99003-7001 | 2012-09-18 |
| 1215229208 | Bretta Schmidt | Specialist | 34705 N Newport Hwy Ste C, Chattaroy, WA 99003-7811 | 2011-05-09 |
| Find all providers in CHATTAROY | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1669024469 | Womencare Inc | Clinic/Center | 150 Josephine Ave, Madison, WV 25130-1357 | 2019-07-11 |
| Find all providers with the same taxonomy | ||||
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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.