LOGAN GENERAL HOSPITAL LLC
NPI 1255064531
Clinic/Center - Rural Health in Logan, WV

Active since July 05, 2022
1690 HOLDEN RD, LOGAN, WV 25601(304) 239-2147(304) 239-2309 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2025, Jul 28, 2022, Jul 5, 2022 (3 updates tracked since 2022).

About Logan General Hospital Llc NPPES

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

LOGAN GENERAL HOSPITAL LLC (NPI 1255064531), doing business as Logan Regional Primary Care - Holden, is a healthcare organization registered as a rural health in Logan, West Virginia and active in the NPI registry since July 2022. The organization lists Johnetta Traylor, Ao, as its authorized official.

NPPES Registry Identity

NPI1255064531
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameLOGAN GENERAL HOSPITAL LLC
Location Address1690 HOLDEN RDLogan, WV 25601-7026
Mailing Address680 S 4th StLouisville, KY 40202-2407 · (502) 596-6063
Fax(304) 239-2309
Organization SubpartNo
Authorized OfficialJohnetta TraylorAo · (502) 596-6063
Enumeration DateJuly 5, 2022
Last NPPES UpdateJune 25, 20253 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
NPI 1255064531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1690 HOLDEN RD, Logan, WV 25601

Other Names 1

Doing Business AsLogan Regional Primary Care - Holden

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1690 HOLDEN RD
LOGAN, WV 25601
Nurse Practitioner
1690 HOLDEN RD
LOGAN, WV 25601

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 1255064531. It was assigned to this organization in the NPPES registry on July 5, 2022. The provider is doing business as Logan Regional Primary Care - Holden.

Where is Logan General Hospital LLC located?

Logan General Hospital LLC is located at 1690 Holden Rd, Logan, WV 25601. The listed phone number is (304) 239-2147.

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.

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 June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.