Active NPI
Logan General Hospital LLC
Doing business as Logan Regional Medical Center - Rehabilitation Unit
- Rehabilitation Hospital Unit
- Logan, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital Unit
- Legal business name
- LOGAN GENERAL HOSPITAL LLC
- Doing business as
- Logan Regional Medical Center - Rehabilitation Unit
- Practice address
- 20 Hospital Dr
Logan, WV 25601-3452 - Phone
- (304) 831-1101
- Fax
- (304) 831-1871
- NPI assigned
- May 17, 2006
- Last updated
- Jun 26, 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 |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | NU | Primary |
Addresses
Primary practice location
20 Hospital Dr
Logan, WV 25601-3452
Mailing address
680 S 4TH St
Louisville, KY 40202-2407
Phone (502) 596-6063
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0102154000 | Medicaid | WV | |
| 000307301 | Other | WV | BLUE CROSS |
| 01690239 | Medicaid | KY | |
| 0713697 | Medicaid | OH |
Other names 1
- Logan Regional Medical Center - Rehabilitation Unit
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lggh@direct.loganregionalmedical.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030913000002 | WV | Part A Provider - Hospital | 9537078977 |
1 other NPI on this enrollment Practice locations: Logan, WV |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1700839438. Details of each certification follow.
Hospital certification: CCN 51T048
- Legal name
- LOGAN GENERAL HOSPITAL LLC
- Doing business as
- LOGAN REGIONAL MEDICAL CENTER
- Organization structure
- LLC
- Incorporated
- Aug 23, 2002 in DE
- Enrollment address
- 20 Hospital Drive
Logan, WV 25601-3452 - Hospital subgroups
- Rehabilitation unit
Related certifications (CCN) 2
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
dba Logan Regional Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Logan, WV
- NPI 1295789675
Unit of hospital
-
dba Logan Regional Medical Center
- General Acute Care Hospital
- Logan, WV
- NPI 1750332565
Unit of hospital
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Logan Regional Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Logan, WV
- NPI 1295789675
9537078977
-
dba Logan Regional Medical Center
- General Acute Care Hospital
- Logan, WV
- NPI 1750332565
9537078977
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Logan Regional Medical Center
- General Acute Care Hospital
- Logan, WV
- NPI 1750332565
O20030913000002
Care Compare: Inpatient rehabilitation facility
Medicare Care Compare- Listed as
- Logan Regional Medical Center
- Ownership
- For profit
- Certified
- Oct 1, 2003
National Provider Directory
National Provider Directory- Tax ID family
- Logan General Hospital
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Acute Care Hospital
- Logan, WV
- NPI 1194930875
Locations
20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101
Ownership & related parties
All disclosed owners & managing parties 12
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Kindred Healthcare Operating LLC | Operational/Managerial Control | Dec 23, 2021 | |
| Brian Craven | Corporate Officer | Apr 12, 2022 | |
| Scott Graeser | Corporate Officer | Aug 19, 2022 | |
| Dana M Rock | Corporate Officer | Dec 9, 2024 | |
| Johnetta M Traylor | Corporate Officer | Dec 9, 2024 | |
| David Brash | W-2 Managing Employee | Feb 22, 2021 | |
| Knight Health Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 100% |
| Michael Joseph Bean | Corporate Officer | Jan 21, 2022 | |
| Knight Intermediate Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 100% |
| Knight Healthcare New-B, LLC | 5% Or Greater Direct Ownership Interest | Dec 23, 2021 | 100% |
| Knight Health II, LLC | 5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 100% |
| Kathy Jane Teague | Corporate Officer | Jun 7, 2017 |
Facilities with the same owner 97
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Cornerstone Specialty Hospitals Huntington
- Long Term Care Hospital
- Huntington, WV
- NPI 1548214786
Kindred Healthcare Operating LLC, Knight Health Holdings LLC
-
dba Logan Regional Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Logan, WV
- NPI 1295789675
Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health II, LLC, Knight Healthcare New-B, LLC
-
dba Logan Regional Medical Center
- General Acute Care Hospital
- Logan, WV
- NPI 1750332565
Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health II, LLC, Knight Healthcare New-B, LLC
-
dba Andalusia Family Healthcare
- Rural Health Clinic/Center
- Andalusia, AL
- NPI 1417663576
Knight Health Holdings LLC, Knight Health II, LLC, Knight Intermediate Holdings LLC
-
dba Cornerstone Specialty Hospitals Round Rock
- Rehabilitation Hospital Unit
- Round Rock, TX
- NPI 1396326948
Kindred Healthcare Operating LLC, Knight Health Holdings LLC
-
dba Cornerstone Specialty Hospitals Round Rock
- Long Term Care Hospital
- Round Rock, TX
- NPI 1912395203
Kindred Healthcare Operating LLC, Knight Health Holdings LLC
-
dba Cornerstone Specialty Hospitals Conroe
- Long Term Care Hospital
- Conroe, TX
- NPI 1073901476
Kindred Healthcare Operating LLC, Knight Health Holdings LLC
-
dba Cornerstone Specialty Hospitals Little Rock
- Long Term Care Hospital
- Little Rock, AR
- NPI 1346630589
Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Intermediate Holdings LLC
-
dba Solara Specialty Hospitals McAllen
- Long Term Care Hospital
- McAllen, TX
- NPI 1760870166
Kindred Healthcare Operating LLC, Knight Health Holdings LLC
-
dba Andalusia Health
- General Acute Care Hospital
- Andalusia, AL
- NPI 1821078494
Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health II, LLC
-
dba Kindred Hospital Dallas Central
- Long Term Care Hospital
- Dallas, TX
- NPI 1356559991
Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Intermediate Holdings LLC
-
dba Kindred Hospital Dallas Central (Acute Rehab Unit)
- Rehabilitation Hospital Unit
- Dallas, TX
- NPI 1821741539
Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Intermediate Holdings LLC
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Logan, WV
- NPI 1902838824
Inpatient rehabilitation facility
-
- Occupational Medicine Physician
- Logan, WV
- NPI 1235295072
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750896000000",
"number": "1700839438",
"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": "304-831-1871"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOGAN GENERAL HOSPITAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-17",
"last_updated": "2025-06-26",
"certification_date": "2025-06-26",
"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": "273Y00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Unit",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0102154000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000307301",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01690239",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0713697",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lggh@direct.loganregionalmedical.net",
"affiliation": "N",
"address_1": "20 Hospital Dr",
"city": "Logan",
"state": "WV",
"country_code": "US",
"postal_code": "256013452",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Logan Regional Medical Center - Rehabilitation Unit",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Logan Regional Medical Center - Rehabilitation Unit",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Logan, WV
- Logan Family Health
- Logan Foot & Ankle Center
- Logan General Hospital LLC (Logan Regional Primary Care - Holden)
- Logan General Hospital LLC (Logan Regional Medical Center)
- Logan General Hospital LLC (Logan Regional Primary Care - Logan)
- Logan General Hospital LLC
- Logan General Hospital LLC (Logan Regional Medical Center)
- Logan Hematology-Oncology Inc
- Logan Internal Medicine Group
- Logan Mingo Area Mental Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.