Logan Memorial Hospital LLC
NPI 1164604732 · Internal Medicine Physician · Russellville, KY
Logan Memorial Hospital LLC is a Internal Medicine Physician organization in Russellville, KY (NPI 1164604732).
Provider details
- NPI number
- 1164604732
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Johnetta Traylor, Ao(502) 596-6063
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Emergency Medicine Physician207P00000X
Allopathic & Osteopathic Physicians
- Body Imaging Physician2085B0100X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Diagnostic Radiology Physician2085R0202X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-12-05
- Last updated
- 2025-06-24
- Certified
- 2025-06-24
Frequently asked questions
- What is Logan Memorial Hospital LLC's NPI number?
- Logan Memorial Hospital LLC's National Provider Identifier (NPI) is 1164604732, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Logan Memorial Hospital LLC?
- Logan Memorial Hospital LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Logan Memorial Hospital LLC located?
- Logan Memorial Hospital LLC's practice location on file with NPPES is 1625 Nashville St, Russellville, KY 42276-8853.
- What is Logan Memorial Hospital LLC's phone number?
- The practice phone number listed in the NPPES registry for Logan Memorial Hospital LLC is (270) 726-4011.
- Who is the authorized official for Logan Memorial Hospital LLC?
- The authorized official listed on Logan Memorial Hospital LLC's NPPES record is Johnetta Traylor, Ao. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Logan Memorial Hospital LLC's NPI active?
- Yes — Logan Memorial Hospital LLC's NPI (1164604732) is active in the NPPES registry as of the last update on 2025-06-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.