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LOGAN GENERAL HOSPITAL LLC
NPI 1295789675
Medicare Defined Swing Bed Unit in Logan, WV

Active since May 20, 2006CLIA 51D0234855 · Accreditation
20 HOSPITAL DR, LOGAN, WV 25601(304) 831-1101 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, Mar 19, 2021, Jun 9, 2020 and 1 more (4 updates tracked since 2017).

About Logan General Hospital Llc NPPES

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

LOGAN GENERAL HOSPITAL LLC (NPI 1295789675), doing business as Logan Regional Medical Center, is a healthcare organization registered as a medicare defined swing bed unit in Logan, West Virginia and active in the NPI registry since May 2006. The organization holds an CLIA Accreditation certificate valid through January 2, 2027 and lists Johnetta Traylor, Ao, as its authorized official.

NPPES Registry Identity

NPI1295789675
Entity TypeOrganization
Primary Taxonomy275N00000X
Legal Business NameLOGAN GENERAL HOSPITAL LLC
Location Address20 HOSPITAL DRLogan, WV 25601-3452
Mailing Address680 S 4th StLouisville, KY 40202-2407 · (502) 596-6063
Phone(304) 831-1101
Organization SubpartNo
Authorized OfficialJohnetta TraylorAo · (502) 596-6063
Enumeration DateMay 20, 2006
Last NPPES UpdateJune 25, 20254 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
✔ NPI 1295789675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedicare Defined Swing Bed UnitHospital Units
Taxonomy Code275N00000X
Definition
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.
20 HOSPITAL DR, Logan, WV 25601
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Other Names 1

Doing Business AsLogan Regional Medical Center

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 Accreditation 51D0234855

Logan General Hospital LLC Logan Regional Medical Center · Logan, WV
Active · expires Jan 2, 2027
CLIA Number51D0234855
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorFahad Bafakih
Laboratory Phone(304) 831-1101
Laboratory LocationLogan General Hospital LLC Logan Regional Medical Center20 Hospital Drive, Logan, WV 25601
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

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

THE TRAINING ROOM INC
Durable Medical Equipment & Medical Supplies
20 HOSPITAL DR, DOCTORS PARK
LOGAN, WV 25601
Logan County (410) 374-4000
TIMOTHY M REED FNP
Nurse Practitioner (Family)
20 HOSPITAL DR
LOGAN, WV 25601
Logan County (304) 831-1188
LOGAN REGIONAL ANESTHESIA SERVICES, LLC
Anesthesiology
20 HOSPITAL DR
LOGAN, WV 25601
Logan County (304) 553-7680
ROBERT PEREZ M.D.
Internal Medicine
20 HOSPITAL DR
LOGAN, WV 25601
Logan County (304) 831-1630
PATSY EUGENIE STOOTS FNP-BC
Nurse Practitioner (Acute Care)
20 HOSPITAL DR
LOGAN, WV 25601
Logan County (304) 831-1101
REGENEA QUICK
Nurse Practitioner (Family)
20 HOSPITAL DR
LOGAN, WV 25601
Logan County (304) 831-1891
GILES BOWMAN CRNA
Nurse Anesthetist, Certified Registered
20 HOSPITAL DR
LOGAN, WV 25601
Logan County (304) 831-1138
LOGAN REGIONAL MEDICAL CENTER
General Acute Care Hospital
20 HOSPITAL DR
LOGAN, WV 25601
Logan County (304) 831-1101

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 1295789675. It was assigned to this organization in the NPPES registry on May 20, 2006. The provider is doing business as Logan Regional Medical Center.

Where is Logan General Hospital LLC located?

Logan General Hospital LLC is located at 20 Hospital Dr, Logan, WV 25601. The listed phone number is (304) 831-1101.

What is Logan General Hospital LLC's specialty?

The primary specialty registered for this NPI is Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

Does Logan General Hospital LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 51D0234855) is associated with this NPI, valid through January 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.