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Organization
LOGAN GENERAL HOSPITAL LLC
Active
Organization
LOGAN GENERAL HOSPITAL LLC
Active
Other names
Logan Regional Medical Center
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) 831-1871
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
—
—
282NR1301X
Rural Acute Care Hospital
73
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000307301
BLUE CROSS
WV
05
—
0102154000
—
WV
05
—
01690239
—
KY
05
—
0713697
—
OH
Enumeration date
05/15/2006
Last updated
06/26/2025
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