Active NPI
Center for Family Care
Doing business as Logan Memorial Hospital
- Rural Health Clinic/Center
- Elkton, KY
National Provider Identifier
1306823141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- License
- 900022
- Legal business name
- CENTER FOR FAMILY CARE
- Doing business as
- Logan Memorial Hospital
- Practice address
- 118 South Main Street
Elkton, KY 42220-0895 - Phone
- (270) 265-5040
- Fax
- (270) 265-5235
- NPI assigned
- Dec 22, 2005
- Last updated
- Jun 24, 2025
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | 900022 | KY | Primary |
Addresses
Primary practice location
118 South Main Street
Elkton, KY 42220-0895
Mailing address
680 S 4TH St # KH-3
Louisville, KY 40202-2407
Phone (502) 596-6063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35001114 | Medicaid | KY |
Other names 1
- LOGAN MEMORIAL HOSPITAL
National Provider Directory
National Provider Directory- Tax ID family
- A Woman's Place
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Russellville, KY
- NPI 1871717066
-
dba Logan Memorial Hospital
- Rural Health Clinic/Center
- Russellville, KY
- NPI 1932246659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750723200000",
"number": "1306823141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 S 4TH ST # KH-3",
"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": "118 SOUTH MAIN STREET",
"city": "ELKTON",
"state": "KY",
"postal_code": "422200895",
"telephone_number": "270-265-5040",
"fax_number": "270-265-5235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR FAMILY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-22",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"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": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "KY",
"license": "900022",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "35001114",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LOGAN MEMORIAL HOSPITAL",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Elkton, KY
- Bright Eyes Clinic
- Heather R Bryant, F09171015
- Lisa M Buren, APRN
- Cagneys Clinic PLLC
- Jessica Nicole Castile, RD,LDN
- Com-Care, Inc (Todd County EMS)
- Commonwealth Health Corporation, Inc. (Med Center Health Primary Care Elkton)
- Commonwealth Therapies, LLC
- Katherine Danielle Davis
- Lorissa A Dias, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.