Organization
CENTER FOR FAMILY CARE
Active
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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