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LOGAN FAMILY PRACTICE, LLC
NPI 1902044597
Clinic/Center - Primary Care in Logan, NM

Active since February 04, 2009
600 GALLEGOS, LOGAN, NM 88426(575) 487-9000(575) 487-9002 Get Directions Write a Review

NPPES record last updated: February 23, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Logan Family Practice, Llc NPPES

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

LOGAN FAMILY PRACTICE, LLC (NPI 1902044597) is a healthcare organization registered as a primary care in Logan, New Mexico and active in the NPI registry since February 2009. The organization lists Lajuana Dell Willis, Member, as its authorized official.

NPPES Registry Identity

NPI1902044597
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLOGAN FAMILY PRACTICE, LLC
Location Address600 GALLEGOSLogan, NM 88426-7602
Mailing Address600 GallegosLogan, NM 88426-7602 · (575) 487-9000 · Fax (575) 487-9002
Phone(575) 487-9000
Fax(575) 487-9002
Organization SubpartNo
Authorized OfficialLajuana Dell WillisMember · (575) 487-9000
Enumeration DateFebruary 4, 2009
Last NPPES UpdateFebruary 23, 2014
✔ NPI 1902044597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NM · R14626
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R14626 (NM)
600 GALLEGOS, Logan, NM 88426
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Other Identifiers 3

Medicaid28184564NM
Medicare PIN3485076303NM
Medicare UPINQ38294NM

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MRS. LA JUANA DELL WILLIS CFNP
Nurse Practitioner
600 GALLEGOS
LOGAN, NM 88426
Quay County (575) 487-9000

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 Family Practice, LLC's NPI number?

The NPI number for Logan Family Practice, LLC is 1902044597. It was assigned to this organization in the NPPES registry on February 4, 2009.

Where is Logan Family Practice, LLC located?

Logan Family Practice, LLC is located at 600 Gallegos, Logan, NM 88426. The listed phone number is (575) 487-9000.

What is Logan Family Practice, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Logan Family Practice, LLC was last updated on February 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.