Logan Regional Medical Center

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

LOGAN REGIONAL MEDICAL CENTER

Practice address

20 Hospital Dr
Logan, WV 25601-3452

Phone

(304) 831-1101

Fax

(304) 831-1937

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Johnetta Traylor

Title

Ao

Phone

(502) 596-6063

Specialties & licenses 1

Addresses

Other identifiers 3

Tax ID family

Logan General Hospital LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Logan General Hospital LLC

  • Rehabilitation Hospital Unit
  • Logan, WV
  • NPI 1700839438
  NPD tax ID

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1194930875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S 4TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022407",
            "telephone_number": "502-596-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HOSPITAL DR",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013452",
            "telephone_number": "304-831-1101",
            "fax_number": "304-831-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "TRAYLOR",
        "authorized_official_first_name": "JOHNETTA",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "502-596-6063"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI ACUTE",
            "identifier": "1750332565",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI SWING",
            "identifier": "1295789675",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI REHAB",
            "identifier": "1700839438",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Logan Pediatrics, Inc
• Logan Pediatrics, Inc
• Logan Professional Counseling Services
• Logan Professional Counseling Services
• Logan Regional Anesthesia Services, LLC
• Logan-Mingo Area Mental Health, Inc
• Logan-Mingo Area Mental Health, Inc
• Logan-Mingo Area Mental Health, Inc
• Logan-Mingo Area Mental Health, Inc.
• Logan-Mingo Area Mental Health, Inc.

• General Acute Care Hospital in Logan, WV
• Providers in Logan, WV by specialty
• General Acute Care Hospital in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.