LOGAN GENERAL HOSPITAL LLC NPI 1720032105

NPI Information

  • NPI: 1720032105
  • Provider Name: LOGAN GENERAL HOSPITAL LLC
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • CLIA Number: 51D0234855
  • Address: 20 HOSPITAL DR
    LOGAN, WV
    ZIP 25601
  • Phone: (304) 831-1101

Map and Directions

Get Directions

NPI Details

LOGAN GENERAL HOSPITAL LLC is a podiatrist in Logan, WV. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. LOGAN GENERAL HOSPITAL LLC NPI is 1720032105. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

20 HOSPITAL DR
LOGAN, WV
ZIP 25601-452
Phone: (304) 831-1101
Fax: (304) 831-1958

The provider's authorized official is Johnetta Traylor .
The authorized official title is Ao and has the following contact phone number (502) 596-6063.

The CLIA number assigned to this NPI record is 51D0234855 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 6/26/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiologyNo
2207Q00000XFamily MedicineNo
3207R00000XInternal MedicineNo
42085B0100XRadiologyBody ImagingNo
52085R0202XRadiologyDiagnostic RadiologyNo
6208600000XSurgeryNo
7208D00000XGeneral PracticeNo
8367500000XNurse Anesthetist, Certified RegisteredNo
9213E00000XPodiatristYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI