Organization
LOGAN MEMORIAL HOSPITAL LLC
Active
Other names
Logan Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNETTA TRAYLOR (DIRECTOR)
(502) 596-6063
Entity
Organization
Contact information
Practice address
1625 NASHVILLE ST, RUSSELLVILLE, KY 42276-8853
(270) 726-4011
Mailing address
680 S 4TH ST # KH-3, LOUISVILLE, KY 40202-2407
(502) 596-6063
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01000132
—
KY
01
—
12700555
SWING
KY
Enumeration date
01/30/2007
Last updated
06/16/2025
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