# LOGAN MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Logan Care for Women
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245263631
- **Authorized official:** JOHNETTA TRAYLOR (AO)
- **Authorized official phone:** (502) 596-6063

## Contact information

- **Practice address:** 1623 NASHVILLE ST, SUITE 105, RUSSELLVILLE, KY 42276-8889
- **Practice address phone:** (615) 372-8500
- **Mailing address:** 680 S 4TH ST \# KH-3, LOUISVILLE, KY 40202-2407
- **Mailing address phone:** (502) 596-6063

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/08/2006
- **Last updated:** 06/24/2025