OrganizationActive
Logan General Hospital LLC
NPI 1255064531 · Rural Health Clinic/Center · Logan, WV
Provider details
- NPI number
- 1255064531
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Johnetta Traylor, Ao(502) 596-6063
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
1690 Holden Rd
Logan, WV 25601-7026
Phone: (304) 239-2147
Fax: (304) 239-2309
Street-level locationGet directions
Mailing address
680 S 4th St
Louisville, KY 40202-2407
Other names (DBA / former)
- Doing business as
- Logan Regional Primary Care - Holden
Registry dates
- Enumerated
- 2022-07-05
- Last updated
- 2025-06-25
- Certified
- 2025-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.