LOGAN MEMORIAL HOSPITAL LLC (NPI# 1093851461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093851461 |
| Entity Type | Organization |
| Organization Name | LOGAN MEMORIAL HOSPITAL LLC |
| Other Organization Name | LOGAN MEMORIAL HOSPITAL |
| Practice Address |
1625 Nashville St Russellville KY 42276-8853 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-4536 |
| Practice Telephone | 2707264011 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6159208913 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-06-09 |
| Authorized Official Name | KATHY J. TEAGUE (ASSISTANT VICE PRESIDENT, SECRETARY) |
| Authorized Official Telephone | 6159207000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 01000132 | 05 | |
| KY | SWING | 12700555 | 01 |
| Other Name | Type Code |
|---|---|
| Logan Memorial Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164604732 | Logan Memorial Hospital LLC | Emergency Medicine | 1625 Nashville St, Russellville, KY 42276-8853 | 2007-12-05 |
| 1871717066 | Logan Memorial Hospital LLC | Clinical Medical Laboratory | 1625 Nashville St, Russellville, KY 42276-8853 | 2007-04-12 |
| 1932246659 | Logan Memorial Hospital LLC | Clinic/Center | 1625 Nashville St, Russellville, KY 42276-8853 | 2007-01-31 |
| 1992893416 | Logan Memorial Hospital LLC | General Acute Care Hospital | 1625 Nashville St, Russellville, KY 42276-8853 | 2006-10-10 |
| Street Address |
1625 NASHVILLE ST |
| City | RUSSELLVILLE |
| State | KY |
| Zip Code | 42276-8853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861485674 | Plj Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 1625 Nashville St, Russellville, KY 42276-8853 | 2005-08-26 |
| 1710484027 | Rp Speech Services LLC | General Acute Care Hospital | 1625 Nashville St, Russellville, KY 42276-8853 | 2018-04-12 |
| 1396150413 | Carlton Alexander Lee | Emergency Medicine | 1625 Nashville St, Russellville, KY 42276-8853 | 2014-06-26 |
| 1295906121 | Russellville Diagnostic Imaging | Radiology | 1625 Nashville St, Russellville, KY 42276-8853 | 2008-03-19 |
| 1164604732 | Logan Memorial Hospital LLC | Emergency Medicine | 1625 Nashville St, Russellville, KY 42276-8853 | 2007-12-05 |
| 1629295084 | Michael Bruce Taylor | Pharmacist | 1625 Nashville St, Russellville, KY 42276-8853 | 2007-04-19 |
| 1871717066 | Logan Memorial Hospital LLC | Clinical Medical Laboratory | 1625 Nashville St, Russellville, KY 42276-8853 | 2007-04-12 |
| 1932246659 | Logan Memorial Hospital LLC | Clinic/Center | 1625 Nashville St, Russellville, KY 42276-8853 | 2007-01-31 |
| 1861544173 | Chris Jurgensmeyer | Nurse Anesthetist, Certified Registered | 1625 Nashville St, Logan Memorial Hospital, Russellville, KY 42276-8853 | 2007-01-17 |
| 1992893416 | Logan Memorial Hospital LLC | General Acute Care Hospital | 1625 Nashville St, Russellville, KY 42276-8853 | 2006-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497302723 | Community Health Centers of Western Kentucky Inc | Family Medicine | 1497 Nashville Road, Russellville, KY 42276 | 2019-08-21 |
| 1104471911 | Lashawnda Lee | Nurse Practitioner | 60 Shelton Lane, Russellville, KY 42276 | 2019-08-08 |
| 1003940867 | Russellville Ind. Schools | Local Education Agency (LEA) | 355 S Seminary St, Russellville, KY 42276 | 2007-03-15 |
| 1083756217 | Robert Ellis Allison | Dentist | 248 East 5th Street, Russellville, KY 42276 | 2007-02-13 |
| 1578602033 | Acsr, Inc. | Clinic/Center | 3239 Lewisburg Rd, Russellville, KY 42276 | 2007-02-05 |
| 1568535250 | David Guion | Pharmacist | 153 Park Square Nw, Russellville, KY 42276 | 2006-11-17 |
| 1144339177 | Dale Woodall Clark | Dentist | 204 East Fourth St, Russellville, KY 42276 | 2006-08-30 |
| 1033120662 | Darla Sherrod Barrow | Optometrist | 709 East 4th St, Russellville, KY 42276 | 2006-08-10 |
| 1265405005 | Varsha Humble | Pediatrics | 1497 Nashville St, Russellville, KY 42276 | 2006-02-10 |
| 1235139247 | Darla Sherrod Barrow | Optometrist | 709 East 4th Street, Russellville, KY 42276 | 2005-08-01 |
| Find all providers in zip 42276 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114095049 | Russellville Hospital Inc. | Medicare Defined Swing Bed Unit | 15155 Highway 43, Russellville, AL 35653-1975 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164578662 | Emhfl, Inc | Medicare Defined Swing Bed Unit | 124 Portman Ave, Stanford, KY 40484-1230 | 2007-01-26 |
| 1285296848 | Arh Tug Valley Health Services, Inc. | Medicare Defined Swing Bed Unit | 5000 Ky Route 321, Prestonsburg, KY 41653-9113 | 2019-07-03 |
| 1275192015 | Pineville Community Health Center Inc | Medicare Defined Swing Bed Unit | 850 Riverview Ave, Pineville, KY 40977-1452 | 2019-06-06 |
| 1902360175 | Crittenden Community Hospital LLC | Medicare Defined Swing Bed Unit | 520 W Gum St, Marion, KY 42064-1516 | 2019-01-22 |
| 1710470828 | Arh Mary Breckinridge Health Services, Inc. | Medicare Defined Swing Bed Unit | 11203 Main St, Martin, KY 41649-7999 | 2018-06-13 |
| 1629568126 | Pineville Medical Center, LLC | Medicare Defined Swing Bed Unit | 850 Riverview Ave, Pineville, KY 40977-1452 | 2018-05-10 |
| 1326590852 | St Elizabeth Medical Center Inc | Medicare Defined Swing Bed Unit | 238 Barnes Rd, Williamstown, KY 41097-9482 | 2016-11-01 |
| 1861843401 | Pineville Community Hospital Association, Inc. | Medicare Defined Swing Bed Unit | 850 Riverview Ave, Pineville, KY 40977-1452 | 2016-06-24 |
| 1730547407 | T J Health Columbia Inc | Medicare Defined Swing Bed Unit | 901 Westlake Dr, Columbia, KY 42728-1123 | 2016-02-09 |
| 1710352935 | Bowling Green Warren County Community Hospital Corporation | Medicare Defined Swing Bed Unit | 1501 S Dixie St, Horse Cave, KY 42749-1480 | 2015-12-14 |
| Find all providers with the same taxonomy | ||||
| City | RUSSELLVILLE |
| Zip Code | 42276 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.