Logan Physician Practice LLC
Organization Active NPI Rural Health Clinic/Center · Elkton, KY
NPI 1427720994 · NPPES record last updated Jul 3, 2024
Key facts
- NPI
- 1427720994
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- LOGAN PHYSICIAN PRACTICE LLC
- Practice address
- 118 S Main St
Elkton, KY 42220-8863 - Phone
- (270) 265-5023
- Fax
- (270) 265-5026
- NPI assigned
- Oct 1, 2021
- Organization subpart
- No
Authorized official
- Name
- Kathy J Teague
- Title
- Vice President and Corp Secretary
- Phone
- (629) 253-5121
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Logan Physician Practice
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
118 S Main St
Elkton, KY 42220-8863
Mailing address
680 S 4TH St
Louisville, KY 40202-2407
Phone (502) 596-7300
Other names
- Logan Primary Care - Elkton
Other providers in Elkton, KY
- Katherine Denise Knight
- Sara Lee
- Diana Leszczewicz
- Lela Livingston
- LK Mansfield LLC
- Lance Mansfield
- Cagney Anne Meacham
- Beth A Meade
- Morgan Murray
- Dana Nall
All providers in Elkton, KY · Rural Health Clinic/Center in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.