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Organization
LOGAN REGIONAL MEDICAL CENTER
Active
Organization
LOGAN REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNETTA TRAYLOR (AO)
(502) 596-6063
Entity
Organization
Contact information
Practice address
20 HOSPITAL DR, LOGAN, WV 25601-3452
(304) 831-1101
(304) 831-1937
Mailing address
680 S 4TH ST, LOUISVILLE, KY 40202-2407
(502) 596-6063
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295789675
NPI SWING
WV
01
—
1700839438
NPI REHAB
WV
01
—
1750332565
NPI ACUTE
WV
Enumeration date
05/14/2007
Last updated
06/25/2025
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