NPIMap

Logan-Mingo Area Mental Health Inc

A Medicare group practice based in Logan, WV: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 0840240362), with 11 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0840240362The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
WV
Enrollments
4
Group size
5 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 3 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20050124000168 WV Part B Supplier - Clinic/Group Practice 1346395035
O20200429002732 WV Part A Provider - Federally Qualified Health Center (FQHC) 1598396202
O20200416001974 WV Part A Provider - Federally Qualified Health Center (FQHC) 1861023699
O20190620002377 WV Part B Supplier - Clinic/Group Practice 1427522218

NPIs in this group 4

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 11

Clinicians who reassign their Medicare benefits to this group (11) or whom Care Compare lists as members (5).

Sources for this page