NPIMap

Organization Active NPI

Community Health & Wellness Partners of Logan County

  • Multi-Specialty Clinic/Center
  • Russells Point, OH
National Provider Identifier
1295294890
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 & WELLNESS PARTNERS OF LOGAN COUNTY
Practice address
8200 State Route 366 Ste 1
Russells Point, OH 43348-9670
Phone
(937) 599-1411
Fax
(937) 599-4128
NPI assigned
Mar 14, 2019
Organization subpart
Yes
Parent organization
COMMUNITY HEALTH & WELLNESS PARTNERS OF LOGAN COUNTYAs reported in NPPES

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
Kassandra Robb
Title
RCM
Phone
(937) 599-1413

Specialties & licenses 2

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

Addresses

Primary practice location

8200 State Route 366 Ste 1
Russells Point, OH 43348-9670

Mailing address

4879 US Highway 68 S
West Liberty, OH 43357-9525
Phone (937) 599-1411

Other names 1

  • Indian Lake Community 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
Part of
Community Health Wellness Partners of Logan County

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": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1295294890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4879 US HIGHWAY 68 S",
            "city": "WEST LIBERTY",
            "state": "OH",
            "postal_code": "433579525",
            "telephone_number": "937-599-1411",
            "fax_number": "937-599-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 STATE ROUTE 366 STE 1",
            "city": "RUSSELLS POINT",
            "state": "OH",
            "postal_code": "433489670",
            "telephone_number": "937-599-1411",
            "fax_number": "937-599-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH & WELLNESS PARTNERS OF LOGAN COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HEALTH & WELLNESS PARTNERS OF LOGAN COUNTY",
        "enumeration_date": "2019-03-14",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "ROBB",
        "authorized_official_first_name": "KASSANDRA",
        "authorized_official_title_or_position": "RCM",
        "authorized_official_telephone_number": "937-599-1413"
    },
    "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 Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Indian Lake Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Russells Point, 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.