OrganizationActive
Logan Pediatrics, Inc
NPI 1396409173 · Rural Health Clinic/Center · Logan, WV
Provider details
- NPI number
- 1396409173
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Okpani Nnachi, Medical Director
Practice location
300 Prosperity Lane
Suite 100
Logan, WV 25601
Phone: (304) 831-0073
Fax: (304) 831-0076
Mailing address
300 Prosperity Lane
Logan, WV 25601
Registry dates
- Enumerated
- 2021-10-27
- Last updated
- 2021-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.