National Provider Identifier Database

COMMUNITY HEALTH FOUNDATION LOGAN
Military Clinical Medical Laboratory

A Department of Defense (DoD) medical clinical reference laboratory not associated with a DoD Hospital or DoD Clinic. An example is the Armed Forces Institute of Pathology.


Contact Information

COMMUNITY HEALTH FOUNDATION LOGAN
HC 68 BOX 1000
SUITE 3
LOGAN, WV25601-9620
Phone: 304-239-3888
Fax: 304-239-3811
Website:
Specialty Taxonomy Code
* Military Clinical Medical Laboratory 291900000X

* Indicates primary specialty

NPI Profile & details for COMMUNITY HEALTH FOUNDATION LOGAN

NPI Number 1699840405
Legal business name
LBN
COMMUNITY HEALTH FOUNDATION LOGAN
Authorized official ROBERT MAYS - (CEO)
Entity Organization
Organization subpart No
Enumeration date 11/21/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • WV Medicaid: 3810005668

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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