LOGAN GENERAL HOSPITAL LLC
NPI 1295789675
Medicare Defined Swing Bed Unit in Logan, WV
- Organization
- Medicare Defined Swing Bed Unit
- CLIA Number: 51D0234855
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 01-02-2027
About LOGAN GENERAL HOSPITAL LLC
This page provides the complete NPI Profile along with additional information for Logan General Hospital Llc, a provider established in Logan, West Virginia operating as a Medicare Defined Swing Bed Unit. The healthcare provider is registered in the NPI registry with number 1295789675 assigned on May 2006. The practitioner's primary taxonomy code is 275N00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Johnetta Traylor (Ao)
- NPI
- 1295789675 Verify this NPI
- Provider Name
- LOGAN GENERAL HOSPITAL LLC
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 20 HOSPITAL DR LOGAN, WV 25601
- Location Phone
- (304) 831-1101
- Mailing Address
- 680 S 4TH ST LOUISVILLE, KY 40202
- Mailing Phone
- (502) 596-6063
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-20-2006
- Last Update Date
- 06-25-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Medicare Defined Swing Bed Unit
- Taxonomy Code
- 275N00000X
- Type
- Hospital Units
- Taxonomy Description
- A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 51D0234855
- Facility Type
- Hospital
- Certificate Effective Date
- January 03, 2025
- Certificate Expiration Date
- January 02, 2027
- Laboratory Director
- FAHAD BAFAKIH
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Logan General Hospital Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
LOGAN, WV 25601
LOGAN, WV 25601
LOGAN, WV 25601
LOGAN, WV 25601
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295789675, enumerated as an "organization" on May 20, 2006.
The provider is located at 20 HOSPITAL DR LOGAN, WV 25601 and the phone number is (304) 831-1101.
Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.
