{"npi":"1689005357","type":"NPI-2","status":"active","name":{"display":"Community Health & Wellness Partners Of Logan County","other":[],"organization_name":"COMMUNITY HEALTH & WELLNESS PARTNERS OF LOGAN COUNTY","authorised_official":"Tara Bair"},"specialty":{"primary_taxonomy":"261QC1500X","primary_taxonomy_description":"Community Health Clinic/Center","slug":"community-health-clinic-center","schema_org_specialty":null,"all":[{"code":"261QC1500X","description":"Community Health Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"4879 US HIGHWAY 68 S","city":"WEST LIBERTY","state":"OH","postal_code":"433579525","country_code":"US","phone":"9375991411","fax":"9375994128"},{"purpose":"MAILING","street_1":"212 E COLUMBUS AVE STE 1","city":"BELLEFONTAINE","state":"OH","postal_code":"433112033","country_code":"US","phone":"9375991411","fax":"9375994128"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"0096025","state":"OH","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20140206000927","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"OH","pac_id":"8022247469"},{"enrlmt_id":"O20140326001589","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"OH","pac_id":"8022247469"}]},"enumeration_date":"2013-12-06","last_updated":"2025-05-16","_meta":{"source":"NPPES","snapshot_date":"2025-05-16","doc_url":"https://findmynpi.com/api"}}