LOGAN-MINGO AREA MENTAL HEALTH, INC – NPI #1861023699
Clinic/Center

LOGAN-MINGO AREA MENTAL HEALTH, INC is an AHC clinic located in CHATTAROY, WV. NPPES has assigned the NPI number 1861023699 to LOGAN-MINGO AREA MENTAL HEALTH, INC on January 30, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LOGAN-MINGO AREA MENTAL HEALTH, INC below.

NPI Profile for
LOGAN-MINGO AREA MENTAL HEALTH, INC

NPI Number
1861023699
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LOGAN-MINGO AREA MENTAL HEALTH, INC
Primary location
2954 BUFFALO CREEK ROAD
CHATTAROY, WV 25667
Phone: (304) 792-7130 Fax:
Mailing address
PO BOX 176
LOGAN, WV 25601-0176
Phone: (304) 792-7130 Fax: (304) 896-5184
Organization Subpart
No
Authorized Official
ANGELA ROBERTSON
BENEFITS COORDINATOR
Phone: (304) 792-7130
Updated
Certification Date
Jan 30, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.