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Organization

LOGAN GENERAL HOSPITAL LLC

Active
Other names
Logan Regional Primary Care - Holden
Organization subpart
No

Provider details

NPI number
Authorized official
JOHNETTA TRAYLOR (AO)
(502) 596-6063
Entity
Organization

Contact information

Practice address
1690 HOLDEN RD, LOGAN, WV 25601-7026
(304) 239-2147
(304) 239-2309
Mailing address
680 S 4TH ST, LOUISVILLE, KY 40202-2407
(502) 596-6063

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Enumeration date
07/05/2022
Last updated
06/25/2025
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