Active NPI
Logan Community Resources Inc
- Speech-Language Pathologist
- Kalamazoo, MI
National Provider Identifier
1265802979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- L893994
- Legal business name
- LOGAN COMMUNITY RESOURCES INC
- Practice address
- 6339 Atlantic Ave
Kalamazoo, MI 49009-9572 - Phone
- (269) 353-9533
- Fax
- (269) 353-9566
- NPI assigned
- Oct 7, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert McFarland
- Title
- Contract Specialist
- Phone
- (574) 289-4831
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | L893994 | MI | Primary |
Addresses
Primary practice location
6339 Atlantic Ave
Kalamazoo, MI 49009-9572
Mailing address
2505 E Jefferson Blvd
South Bend, IN 46615-2635
Phone (574) 289-4831
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444176000000",
"number": "1265802979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2505 E JEFFERSON BLVD",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466152635",
"telephone_number": "574-289-4831",
"fax_number": "574-234-2075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6339 ATLANTIC AVE",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490099572",
"telephone_number": "269-353-9533",
"fax_number": "269-353-9566"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOGAN COMMUNITY RESOURCES INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-07",
"last_updated": "2015-10-07",
"status": "A",
"authorized_official_last_name": "MCFARLAND",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "CONTRACT SPECIALIST",
"authorized_official_telephone_number": "574-289-4831"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "L893994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.