# LOGAN GENERAL HOSPITAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Logan Regional Primary Care - Chapmanville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023742053
- **Authorized official:** KATHY J. TEAGUE (ASSISTANT VP AND SECRETARY)
- **Authorized official phone:** (615) 920-7646

## Contact information

- **Practice address:** 555 MAIN STREET, CHAPMANVILLE, WV 25508-5001
- **Practice address phone:** (304) 688-9901
- **Practice address fax:** (304) 688-9904
- **Mailing address:** 555 MAIN STREET, CHAPMANVILLE, WV 25508-5001
- **Mailing address phone:** (304) 688-9901
- **Mailing address fax:** (304) 688-9904

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/14/2022
- **Last updated:** 07/28/2022