MEDICARE: WING HAVEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1164779716
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WING HAVEN

Provider Business Mailing Address
First Line	:	PO BOX 171
Second Line	:
City	:	VINTON
State	:	OH
Zip	:	45686-0171
Country	:	US
Telephone Number	:	740-388-8567
Fax Number	:	740-388-8566

Provider Business Practice Location Address
First Line	:	53 MAIN ST
Second Line	:
City	:	VINTON
State	:	OH
Zip	:	45686
Country	:	US
Telephone Number	:	740-388-8567
Fax Number	:	740-388-8566

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. LEE BAUMAN
Credential	:	MBA
Telephone Number	:	740-645-8536

Provider Enumeration Date	:	08/13/2012
Last Update Date	:	08/13/2012

Similar Medicare Providers

1447385570 — MR. GARRY B STOVER III
Practice Location Address:

2001 MT CARMEL RD
VINTON, OH
45686

Practice Phone: 740-245-9850
Practice Fax: 740-245-9852

1700113529 — HAVEN OF HOPE CHRISTIAN COUNSELING CENTER LLC
Practice Location Address:

53 MAIN ST
VINTON, OH
45686

Practice Phone: 740-388-8567
Practice Fax:

1508194259 — AMY N SISSON MA
Practice Location Address:

53 MAIN STREET
VINTON, OH
45686

Practice Phone: 740-388-8567
Practice Fax: 740-388-8567

1932404332 — MR. TIM A BRANHAM RN
Practice Location Address:

43753 COVERED BRIDGE RD
VINTON, OH
45686-8540

Practice Phone: 740-669-8608
Practice Fax:

1932592839 — FIELD OF HOPE COMMUNITY CAMPUS, INC.
Practice Location Address:

11821 STATE ROUTE 160
VINTON, OH
45686

Practice Phone: 740-245-3051
Practice Fax: 740-245-3052

1639629868 — JO A PRITT
Practice Location Address:

31395 METHENY FAIRPLAY RD
VINTON, OH
45686-8914

Practice Phone: 740-861-8220
Practice Fax:

Directions to “WING HAVEN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.