WEST LOGAN PRIMARY CARE LLC; NPI #1730963604

Contact Information

WEST LOGAN PRIMARY CARE LLC

947 OLD LOGAN RD
LOGAN, WV 25601-3341

Phone: 304-831-0085
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for WEST LOGAN PRIMARY CARE LLC

NPI Number	`1730963604`
LBN Legal business name	WEST LOGAN PRIMARY CARE LLC
Authorized official	EVA STANLEY - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	08/22/2023
Last updated	12/09/2023 - About 2 years 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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