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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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