Community Health Foundation of Logan
NPI #1336106632 in Logan, West Virginia
Provider Information
- NPI Number
- 1336106632
- Entity Type
- Organization
- Organization Name
- Community Health Foundation of Logan
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Apr 28, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- HC68 BOX 1000
- Address 2
- SUITE 3
- City
- Logan
- State
- West Virginia
- ZIP Code
- 25601-9620
- Phone
- (304) 239-3888
Authorized Official
- Name
- MR. ROBERT ROSCOE MAYS III
- Title
- CEO
- Phone
- (304) 583-6541
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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