Organization
CENTER FOR FAMILY CARE
Active
Other names
LOGAN MEMORIAL HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNETTA TRAYLOR (AO)
(502) 596-6063
Entity
Organization
Contact information
Practice address
118 SOUTH MAIN STREET, ELKTON, KY 42220-0895
(270) 265-5040
(270) 265-5235
Mailing address
680 S 4TH ST # KH-3, LOUISVILLE, KY 40202-2407
(502) 596-6063
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
900022
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35001114
—
KY
Enumeration date
12/22/2005
Last updated
06/24/2025
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