Organization
LOGAN GENERAL HOSPITAL LLC
Active
Other names
Logan Regional Primary Care - Logan
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNETTA TRAYLOR (AO)
(502) 596-6063
Entity
Organization
Contact information
Practice address
38 HOSPITAL DR STE 1A, LOGAN, WV 25601-3452
(304) 831-1892
(304) 831-1477
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
07/14/2022
Last updated
06/26/2025
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