LOGAN MEMORIAL HOSPITAL LLC – NPI #1164604732
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

LOGAN MEMORIAL HOSPITAL LLC is a provider located in RUSSELLVILLE, KY. NPPES has assigned the NPI number 1164604732 to LOGAN MEMORIAL HOSPITAL LLC on December 05, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Jun 24, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LOGAN MEMORIAL HOSPITAL LLC below.

NPI Profile for
LOGAN MEMORIAL HOSPITAL LLC

NPI Number
1164604732
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LOGAN MEMORIAL HOSPITAL LLC
Primary location
1625 NASHVILLE ST
RUSSELLVILLE, KY 42276-8853
Phone: (270) 726-4011 Fax:
Mailing address
680 S 4TH ST # KH-3
LOUISVILLE, KY 40202-2407
Phone: (502) 596-6063 Fax:
Organization Subpart
No
Authorized Official
JOHNETTA TRAYLOR
AO
Phone: (502) 596-6063
Updated
Certification Date
Jun 24, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.