Organization Active NPI

Community Health and Wellness Partners of Logan County

  • Multi-Specialty Clinic/Center
  • Lewistown, OH
National Provider Identifier
1164287967
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
COMMUNITY HEALTH AND WELLNESS PARTNERS OF LOGAN COUNTY
Doing business as
Indian Lake School-Based Health Center
Practice address
8920 County Road 91 Ste 2
Lewistown, OH 43333-9786
Phone
(937) 599-1411
Fax
(937) 599-4128
NPI assigned
Feb 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tara Dawn Bair
Title
Ceo
Phone
(937) 599-1411

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

8920 County Road 91 Ste 2
Lewistown, OH 43333-9786

Mailing address

212 E Columbus Ave Ste 1
Bellefontaine, OH 43311-2033
Phone (937) 599-1411

Other names 1

  • Indian Lake School-Based Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Health Wellness Partners of Logan County17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1164287967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 E COLUMBUS AVE STE 1",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112033",
            "telephone_number": "937-599-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8920 COUNTY ROAD 91 STE 2",
            "city": "LEWISTOWN",
            "state": "OH",
            "postal_code": "433339786",
            "telephone_number": "937-599-1411",
            "fax_number": "937-599-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH AND WELLNESS PARTNERS OF LOGAN COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "BAIR",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-599-1411"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indian Lake School-Based Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Indian Lake School-Based Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewistown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.