| Logan Family Care Center Llc | |
|
557 Main St Logan WV 25601-3809 | |
| (304) 752-3435 | |
| Not Available |
| Full Name | Logan Family Care Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 557 Main St, Logan, West Virginia |
| Authorized Official Name and Position | Heather Ann Kirk (SOLE MEMBER) |
| Authorized Official Contact | 3046872669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Family Care Center Llc 557 Main St Logan WV 25601-3809 Ph: (304) 752-3435 | Logan Family Care Center Llc 557 Main St Logan WV 25601-3809 Ph: (304) 752-3435 |
| NPI Number | 1750706057 |
|---|---|
| Provider Enumeration Date | 02/23/2014 |
| Last Update Date | 02/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750706057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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