OrganizationActive
Logan Dialysis Center LLC
NPI 1407030802 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Logan, OH
Provider details
- NPI number
- 1407030802
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Christopher Ford, Chairman(978) 922-3080
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
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
12900 State Route 664 S
Logan, OH 43138-9261
Phone: (740) 385-6300
Fax: (740) 385-8400
Street-level locationGet directions
Mailing address
66 Cherry Hill Dr
Beverly, MA 01915-1054
Registry dates
- Enumerated
- 2007-12-20
- Last updated
- 2007-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.