Organization
LOGAN PHYSICIAN PRACTICE LLC
Active
Parent organization
LOGAN PHYSICIAN PRACTICE LLC
Other names
AUBURN COMMUNITY HEALTH CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOGAN PHYSICIAN PRACTICE LLC
Authorized official
KATHY J TEAGUE (VP AND CORPORATE SECRETARY)
(629) 253-5121
Entity
Organization
Contact information
Practice address
128 SUGAR MAPLE DR, AUBURN, KY 42206-5352
(270) 344-5157
Mailing address
128 SUGAR MAPLE DR, AUBURN, KY 42206-5352
(270) 344-5157
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/14/2012
Last updated
11/28/2023
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