LOGAN REGIONAL MEDICAL CENTER (NPI# 1194930875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194930875 |
| Entity Type | Organization |
| Organization Name | LOGAN REGIONAL MEDICAL CENTER |
| Practice Address |
20 Hospital Dr Logan WV 25601-3452 |
| Practice Telephone | 3048311101 |
| Practice Fax Number | 3048311937 |
| Mailing Telephone | 3048311101 |
| Mailing Fax Number | 3048311937 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DEBBIE L LAFFERTY (ASSISTANT BUSINESS OFFICE DIRECTOR) |
| Authorized Official Telephone | 3048311901 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | NPI SWING | 1295789675 | 01 |
| WV | NPI ACUTE | 1750332565 | 01 |
| WV | NPI REHAB | 1700839438 | 01 |
| Street Address |
20 HOSPITAL DR |
| City | LOGAN |
| State | WV |
| Zip Code | 25601-3452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164088647 | Tina Louise Prince | Nurse Practitioner | 20 Hospital Dr, Logan, WV 25601-3452 | 2019-05-10 |
| 1467947895 | Staci Diane Johnson Knight | Nurse Practitioner | 20 Hospital Dr, Logan, WV 25601-3452 | 2018-06-27 |
| 1609360940 | Benjamin D Adkins | Physician Assistant | 20 Hospital Dr, Logan, WV 25601-3452 | 2018-06-20 |
| 1477042943 | Tammi Endicott Blankenship | Nurse Practitioner | 20 Hospital Dr, Logan, WV 25601-3452 | 2018-05-09 |
| 1992220321 | Healogics Specialty Physicians of West Virginia, Pllc | Preventive Medicine | 20 Hospital Dr, Logan, WV 25601-3452 | 2017-08-07 |
| 1447773692 | Shelly L Fizer | Nurse Practitioner | 20 Hospital Dr, Logan, WV 25601-3452 | 2017-07-19 |
| 1861845638 | Chelsea Mackall | Physician Assistant | 20 Hospital Dr, Logan, WV 25601-3452 | 2016-07-18 |
| 1790130722 | Lonnie Berry | Emergency Medicine | 20 Hospital Dr, Logan, WV 25601-3452 | 2016-04-27 |
| 1689037780 | Appalachia Pathology Consultants LLC | Pathology | 20 Hospital Dr, Logan, WV 25601-3452 | 2016-04-05 |
| 1437535267 | Daniel Wright | Podiatrist | 20 Hospital Dr, Logan, WV 25601-3452 | 2015-08-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689805 | Appalachian Medical LLC | Durable Medical Equipment & Medical Supplies | 218 Dingess St, Logan, WV 25601 | 2020-11-04 |
| 1184224909 | Pamela Gail Hamlin | Technician | 123 Cassick Street, Logan, WV 25601 | 2020-10-30 |
| 1134607344 | Allyson Christa Mckinney | Occupational Therapy Assistant | 55 Lmmh Center Road, Logan, WV 25601 | 2018-07-31 |
| 1841783727 | Erica Lupson | Nurse Practitioner | 3 Mile Curve, Logan, WV 25601 | 2018-06-14 |
| 1861930836 | Joseph Michael Mounts | Counselor | 312 Hudgins St, Logan, WV 25601 | 2017-02-09 |
| 1932647385 | Melissa Campbell | Occupational Therapy Assistant | Wv-10, Logan, WV 25601 | 2017-02-06 |
| 1356891659 | Brooke Bell | Pharmacist | Route 44 Holden Rd, Logan, WV 25601 | 2016-10-11 |
| 1760886469 | April Workman | Massage Therapist | 19 A Main Avenue, Logan, WV 25601 | 2014-10-09 |
| 1366889081 | Ashley Leann Dingess | Physical Therapy Assistant | 55 Logan Mingo Mental Health, Logan, WV 25601 | 2013-06-04 |
| 1528361466 | Health Care Management, LLC | Pharmacy | 369 George Kostas Drive, Logan, WV 25601 | 2010-12-15 |
| Find all providers in zip 25601 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699226605 | Ihc Health Services Inc | General Acute Care Hospital | 500 E. 1400 N., Logan, UT 84341 | 2016-10-14 |
| 1306970199 | Cache Valley Specialty Hospital | General Acute Care Hospital | 2380 N 400 E, Logan, UT 84341-1749 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164882072 | Karen Goff | General Acute Care Hospital | 42 Pineview Flats Rd, Hambleton, WV 26269-8037 | 2016-03-04 |
| 1811241714 | Joseph Stephen Blevins | General Acute Care Hospital | 645 Lincolnshire Dr, Mineral Wells, WV 26150-6006 | 2012-10-31 |
| 1487905311 | Va Medical Center | General Acute Care Hospital | 292 Sherwood Dr, Huntington, WV 25704-9460 | 2012-10-02 |
| 1114243680 | Charleston Area Medical Center | General Acute Care Hospital | 3103 Maccorkle Ave Se, Charleston, WV 25304-1217 | 2010-04-08 |
| 1508005398 | Linguacare Associates, Inc. | General Acute Care Hospital | 1807 Mount Alpha Rd, Charleston, WV 25304-2736 | 2009-02-18 |
| 1477709921 | Huntington Va Medical Center | General Acute Care Hospital | 540 Spring Valley Dr, Huntington, WV 25704 | 2008-08-15 |
| 1356522783 | Ohio Valley Medical Center, Inc | General Acute Care Hospital | 2211 Eoff St, Wheeling, WV 26003-3807 | 2007-11-14 |
| 1962605931 | Wvu | General Acute Care Hospital | 740 Erow Ave, Morgantown, WV 26505-2579 | 2007-06-07 |
| 1619181393 | Wvu Department of Family Medicine | General Acute Care Hospital | 1 Med.center Dr., Morgantown, WV 26506 | 2007-05-10 |
| 1235229501 | Pinch Anesthesia Associates,inc. | General Acute Care Hospital | 11 Graystone Est, Elkview, WV 25071-9400 | 2006-10-14 |
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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.