LOGAN REGIONAL PRIMARY CARE - CHAPMANVILLE
NPI 1023742053
Clinic/Center - Rural Health in Chapmanville, WV

Active since July 14, 2022CLIA 51D2002990 · Waiver
555 MAIN STREET, CHAPMANVILLE, WV 25508(304) 688-9901(304) 688-9904 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 28, 2022, Jul 14, 2022 (2 updates tracked since 2022).

About Logan Regional Primary Care - Chapmanville NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOGAN REGIONAL PRIMARY CARE - CHAPMANVILLE (NPI 1023742053) is a healthcare organization registered as a rural health in Chapmanville, West Virginia and active in the NPI registry since July 2022. The organization holds a CLIA Waiver certificate valid through January 28, 2028 and lists Kathy J. Teague, Assistant Vp And Secretary, as its authorized official.

NPPES Registry Identity

NPI1023742053
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameLOGAN GENERAL HOSPITAL LLC
Location Address555 MAIN STREETChapmanville, WV 25508-5001
Mailing Address555 Main StreetChapmanville, WV 25508-5001 · (304) 688-9901 · Fax (304) 688-9904
Fax(304) 688-9904
Organization SubpartNo
Authorized OfficialKathy J. TeagueAssistant Vp And Secretary · (615) 920-7646
Enumeration DateJuly 14, 2022
Last NPPES UpdateJuly 28, 20222 updates tracked since enumeration
NPPES CertifiedJuly 28, 2022
✔ NPI 1023742053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
555 MAIN STREET, Chapmanville, WV 25508

Other Names 1

Doing Business AsLogan Regional Primary Care - Chapmanville

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Logan Regional Primary Care - Chapmanville is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

45

Medicare enrollment records show 45 clinicians reassign Medicare billing to Logan Regional Primary Care - Chapmanville, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 19 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 16

Nurse Practitioner11
Family Practice4
General Surgery4
Internal Medicine4
Neurology4
Podiatry3
Urology3
Anesthesiology2
8 other specialties10

Nearest to this location (20)

See all 45
Nurse Practitioner
NPI 1205719770
555 MAIN STREET
Chapmanville, WV 25508
(304) 688-9901
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1760446686
20 HOSPITAL DR
Logan, WV 25601
(304) 831-1477
✔ PECOS✔ Accepts Medicare8.8 mi
Internal Medicine
NPI 1376717694
20 HOSPITAL DR
Logan, WV 25601
(304) 831-1602
✔ PECOS✔ Accepts Medicare8.8 mi
Pulmonary Disease
NPI 1275575391
20 HOSPITAL DR
Logan, WV 25601
(304) 831-1891
✔ PECOS✔ Accepts Medicare8.8 mi
Orthopedic Surgery
NPI 1538145313
20 HOSPITAL DR
Logan, WV 25601
(304) 831-1818
✔ PECOS✔ Accepts Medicare8.8 mi
Medical Oncology
NPI 1891807822
20 HOSPITAL DR
Logan, WV 25601
(304) 239-8070
✔ PECOS✔ Accepts Medicare8.8 mi
Anesthesiology
NPI 1013479856
70 HOSPITAL DR
Logan, WV 25601
(304) 831-1101
✔ PECOS✔ Accepts Medicare8.8 mi
Nurse Practitioner
NPI 1134724826
20 HOSPITAL DR
Logan, WV 25601
(304) 831-1891
✔ PECOS✔ Accepts Medicare8.8 mi
Nurse Practitioner
NPI 1366001026
83 HOSPITAL DR
Logan, WV 25601
(304) 831-1101
✔ PECOS✔ Accepts Medicare8.8 mi
Internal Medicine
NPI 1073578647
20 HOSPITAL DR
Logan, WV 25601
(304) 831-1630
✔ PECOS✔ Accepts Medicare8.8 mi
Gastroenterology
NPI 1679538052
20 HOSPITAL DR
Logan, WV 25601
(304) 831-1820
✔ PECOS✔ Accepts Medicare8.8 mi
Nurse Practitioner
NPI 1902456718
20 HOSPITAL DR
Logan, WV 25601
(304) 831-1101
✔ PECOS✔ Accepts Medicare8.8 mi
Family Practice
NPI 1235295072
60 HOSPITAL DR
Logan, WV 25601
(304) 831-1335
✔ PECOS✔ Accepts Medicare8.9 mi
General Surgery
NPI 1083866511
77 HOSPITAL DRIVE
Logan, WV 25601
(304) 792-1847
✔ PECOS✔ Accepts Medicare9.0 mi
General Surgery
NPI 1952645111
77 HOSPITAL DRIVE
Logan, WV 25601
(304) 792-1847
✔ PECOS✔ Accepts Medicare9.0 mi
Urology
NPI 1356370142
140 STOLLINGS AVE SUITE 1
Logan, WV 25601
(304) 752-2555
✔ PECOS9.4 mi
Nurse Practitioner
NPI 1265959704
140 STOLLINGS AVE STE 1
Logan, WV 25601
(304) 752-2555
✔ PECOS✔ Accepts Medicare9.4 mi
Nurse Practitioner
NPI 1700262581
1690 HOLDEN RD
Logan, WV 25601
(304) 239-2147
✔ PECOS✔ Accepts Medicare9.7 mi
Hospitalist
NPI 1558352732
601 HOLDEN RD
Holden, WV 25625
(304) 239-2147
✔ PECOS✔ Accepts Medicare10.0 mi
Pulmonary Disease
NPI 1093087611
701 MADISON AVE
Madison, WV 25130
(304) 369-1230
✔ PECOS✔ Accepts Medicare13 mi
See all 45 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D2002990

Logan Regional Primary Care - Chapmanville · Chapmanville, WV
Active · expires Jan 28, 2028
CLIA Number51D2002990
Laboratory TypePhysician Office
Certificate Effective DateJanuary 29, 2026
Certificate Expiration DateJanuary 28, 2028
Laboratory DirectorSarah Conn
Laboratory Phone(304) 688-9901
Laboratory LocationLogan Regional Primary Care - Chapmanville555 Main Street, Chapmanville, WV 25508
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Logan General Hospital LLC's NPI number?

The NPI number for Logan General Hospital LLC is 1023742053. It was assigned to this organization in the NPPES registry on July 14, 2022. The provider is doing business as Logan Regional Primary Care - Chapmanville.

Where is Logan General Hospital LLC located?

Logan General Hospital LLC is located at 555 Main Street, Chapmanville, WV 25508. The listed phone number is (304) 688-9901.

What is Logan General Hospital LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Logan General Hospital LLC enrolled in Medicare?

Yes. Logan General Hospital LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Logan General Hospital LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 45 clinicians in 16 Medicare specialties reassign their Medicare billing to Logan General Hospital LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (11), Family Practice (4) and General Surgery (4). Of these, 1 practice at this address and 19 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Logan General Hospital LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D2002990) is associated with this NPI, valid through January 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Logan General Hospital LLC accept?

Health plans from CareSource list Logan General Hospital LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Logan General Hospital LLC was last updated on July 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.