LOGAN MEMORIAL HOSPITAL LLC (NPI# 1992893416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992893416 |
| 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 |
| Practice Fax Number | 2707267465 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6159208913 |
| Enumeration Date | 2006-10-10 |
| 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 | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
73 | KY | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | PASSPORT HEALTH | 1096575 | 01 |
| KY | BLUE CROSS | 000000055027 | 01 |
| IN | 100038770A | 05 | |
| KY | WORKERS COMP | KYMCO11B | 01 |
| KY | BLUE CROSS LABORATORY | 000000342028 | 01 |
| TN | 0180066 | 05 | |
| KY | UNITED HEALTHCARE | 5000013 | 01 |
| KY | ACS | 166291400 | 01 |
| KY | BLACK LUNG | 360698 | 01 |
| KY | 01000132 | 05 |
| 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 |
| 1093851461 | Logan Memorial Hospital LLC | Medicare Defined Swing Bed Unit | 1625 Nashville St, Russellville, KY 42276-8853 | 2007-01-30 |
| 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 |
| 1093851461 | Logan Memorial Hospital LLC | Medicare Defined Swing Bed Unit | 1625 Nashville St, Russellville, KY 42276-8853 | 2007-01-30 |
| 1861544173 | Chris Jurgensmeyer | Nurse Anesthetist, Certified Registered | 1625 Nashville St, Logan Memorial Hospital, Russellville, KY 42276-8853 | 2007-01-17 |
| 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 | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316015241 | Russellville Hospital Inc. | General Acute Care Hospital | 15155 Highway 43, Russellville, AL 35653-1975 | 2006-11-30 |
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|---|---|---|---|---|
| 1104443654 | Memorial Hospital Inc | General Acute Care Hospital | 53 Queendale Ctr Ste 200, Beverly, KY 40913-9608 | 2020-07-01 |
| 1619038247 | Lake Cumberland Regional Hospital LLC | General Acute Care Hospital | 305 Langdon Street, Somerset, KY 42502 | 2006-12-13 |
| 1316939689 | Clinton County Hospital, Inc. | General Acute Care Hospital | 723 Burkesville Rd, Albany, KY 42602-1654 | 2005-08-22 |
| 1992701429 | Saint Joseph Health System Inc | General Acute Care Hospital | 1001 Saint Joseph Ln, London, KY 40741-8345 | 2005-06-21 |
| 1013379528 | The Medical Center At Clinton County, Inc. | General Acute Care Hospital | 723 Burkesville Rd, Albany, KY 42602-1654 | 2016-03-23 |
| 1487976163 | H. Eduardo Pavon M.d. | General Acute Care Hospital | 298 Main St, Suite 2, Cadiz, KY 42211-9155 | 2010-02-22 |
| 1699941427 | St Claire Regional Medical Center | General Acute Care Hospital | 445 Clinic Dr, Morehead, KY 40351-1077 | 2008-05-01 |
| 1558585091 | Ccmh Corporation | General Acute Care Hospital | 309 11th St, Carrollton, KY 41008-1435 | 2007-04-13 |
| 1063549814 | Murray Calloway County Public Hospital Corporation | General Acute Care Hospital | 803 Poplar St, Murray, KY 42071-2432 | 2007-02-28 |
| 1780746420 | Spring View Hospital LLC | General Acute Care Hospital | 320 Loretto Rd, Lebanon, KY 40033-1300 | 2006-12-15 |
| Find all providers with the same taxonomy | ||||
| City | RUSSELLVILLE |
| Zip Code | 42276 |
Please comment or provide details below to improve the information on LOGAN MEMORIAL HOSPITAL LLC.
| 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.