NPIMap

Organization Active NPI

Logan Mingo Area Mental Health

  • Health Service Clinic/Center
  • Logan, WV
National Provider Identifier
1235408121
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
11 Issued in WV
Legal business name
LOGAN MINGO AREA MENTAL HEALTH
Practice address
174 Lmah Center Rd
Logan, WV 25601-4058
Phone
(304) 792-7130
NPI assigned
Dec 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Authorized official

Name
Angela Lynn Robertson
Title
Benefits Coordinator
Phone
(304) 792-7130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 11 WV Primary

Addresses

Primary practice location

174 Lmah Center Rd
Logan, WV 25601-4058

Mailing address

PO Box 176
Logan, WV 25601-0176
Phone (304) 792-7130

National Provider Directory

National Provider Directory
Tax ID family
Logan Mingo Area Mental Health Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21756/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1235408121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 176",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256010176",
            "telephone_number": "304-792-7130",
            "fax_number": "304-792-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 LMAH CENTER RD",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256014058",
            "telephone_number": "304-792-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN MINGO AREA MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "BENEFITS COORDINATOR",
        "authorized_official_telephone_number": "304-792-7130"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WV",
            "license": "11",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.