Logan General Hospital LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

LOGAN GENERAL HOSPITAL LLC

Doing business as

Logan Regional Primary Care - Chapmanville

Practice address

555 Main Street
Chapmanville, WV 25508-5001

Phone

(304) 688-9901

Fax

(304) 688-9904

NPI assigned

Jul 14, 2022

Last updated

Jul 28, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kathy J. Teague

Title

Assistant VP and Secretary

Phone

(615) 920-7646

Specialties & licenses 1

Addresses

Other names 1

• Logan Regional Primary Care - Chapmanville Doing business as

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Logan General Hospital LLC

  dba Logan Regional Primary Care - Holden

  • Rural Health Clinic/Center
  • Logan, WV
  • NPI 1255064531

  O20031217001124

  Same enrollment
• Logan General Hospital LLC

  dba Logan Regional Primary Care - Logan

  • Rural Health Clinic/Center
  • Logan, WV
  • NPI 1558095588

  O20031217001124

  Same enrollment
• Logan General Hospital LLC

  • Podiatrist
  • Logan, WV
  • NPI 1720032105

  O20031217001124

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tonya Lee Crum

  • Family Nurse Practitioner
  • Chapmanville, WV
  • NPI 1205719770
  NPD
• Jessica Danielle Hardin, PA-C

  • Physician Assistant
  • Williamson, WV
  • NPI 1154725638
  NPD
• Jennifer Lynn Vernatter, APRN FNP-BC

  • Family Nurse Practitioner
  • Logan, WV
  • NPI 1902456718
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1023742053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 MAIN STREET",
            "city": "CHAPMANVILLE",
            "state": "WV",
            "postal_code": "255085001",
            "telephone_number": "304-688-9901",
            "fax_number": "304-688-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 MAIN STREET",
            "city": "CHAPMANVILLE",
            "state": "WV",
            "postal_code": "255085001",
            "telephone_number": "304-688-9901",
            "fax_number": "304-688-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN GENERAL HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "TEAGUE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "ASSISTANT VP AND SECRETARY",
        "authorized_official_telephone_number": "615-920-7646"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Logan Regional Primary Care - Chapmanville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dennis Ray Lewis, R.PH.
• Life Solutions Counseling Services, LLC
• Lincoln County Primary Care Center Inc (Southern West Virginia Health System-Chapmanville)
• Lincoln County Primary Care Center, Inc. (CRHS Tiger Center For Health)
• Meghan Loftus
• Logan Pediatrics, Inc.
• Alican Hope Lucas, FNP-BC
• Gina Lucas
• Tina Mahon
• Francie Marcum

• Rural Health Clinic/Center in Chapmanville, WV
• Providers in Chapmanville, WV by specialty
• Rural Health Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.