| Logan Clinic | |
|
214 W Main St Logan KS 67646-9764 | |
| (785) 877-3351 | |
| (785) 877-2841 |
| Full Name | Logan Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 214 W Main St, Logan, Kansas |
| Authorized Official Name and Position | Gina Frack (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7858773351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Clinic Po Box 250 Norton KS 67654-0250 Ph: (785) 877-3351 | Logan Clinic 214 W Main St Logan KS 67646-9764 Ph: (785) 877-3351 |
| NPI Number | 1659724524 |
|---|---|
| Provider Enumeration Date | 07/15/2016 |
| Last Update Date | 01/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659724524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | H-069-001 (Kansas) | Primary |
Logan Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 W Main St, Logan, KS 67646 Phone: 785-689-4220 Fax: 785-689-4219 |