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Contact Information

LOGAN MEMORIAL HOSPITAL LLC
1625 NASHVILLE ST
RUSSELLVILLE, KY42276-8853
 Phone: 270-726-4011
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Body Imaging

2085B0100X
 

Diagnostic Neuroimaging

2085D0003X
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for LOGAN MEMORIAL HOSPITAL LLC

NPI # 1164604732
LBN Legal business name LOGAN MEMORIAL HOSPITAL LLC
Authorized official JOHNETTA TRAYLOR - (AO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/05/2007
Last updated 06/24/2025 - About 12 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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