| NPI | 1558095588 |
|---|---|
| Doing Business As | LOGAN REGIONAL PRIMARY CARE - LOGAN |
| Entity Type | Organization |
| Authorized Contact | JOHNETTA TRAYLOR AO 502-596-6063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2025-06-26 |