| Logan Pediatrics, Inc | |
|
300 Prosperity Lane Suite 100 Logan WV 25601 | |
| (304) 831-0073 | |
| (304) 831-0076 |
| Full Name | Logan Pediatrics, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 300 Prosperity Lane, Logan, West Virginia |
| Authorized Official Name and Position | Okpani Martin Nnachi (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3048310073 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Pediatrics, Inc 300 Prosperity Lane Suite 100 Logan WV 25601 Ph: (304) 831-0073 | Logan Pediatrics, Inc 300 Prosperity Lane Suite 100 Logan WV 25601 Ph: (304) 831-0073 |
| NPI Number | 1396409173 |
|---|---|
| Provider Enumeration Date | 10/27/2021 |
| Last Update Date | 10/27/2021 |
| Medicare PECOS PAC ID | 5597835371 |
|---|---|
| Medicare Enrollment ID | O20220106002141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396409173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Carlton L W Herald Do Pc Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 Hospital Dr, Suite 100, Logan, WV 25601 Phone: 304-831-2061 Fax: 304-831-2063 | |
Southern West Virgina Health System-logan Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 122 Nick Savas Drive, Logan, WV 25601 Phone: 304-752-8081 Fax: 304-752-8083 | |
Legacy Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 214 Hanging Rock Hwy, Logan, WV 25601 Phone: 304-784-4495 Fax: 304-688-9020 | |
Main Street Family Practice, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 533 Main St, Logan, WV 25601 Phone: 304-752-3400 Fax: 304-752-8138 | |
Ovp Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 557 Main St, Logan, WV 25601 Phone: 740-752-3435 Fax: 740-753-3436 | |
Absolute Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Bridge St, Logan, WV 25601 Phone: 304-896-5025 Fax: 304-896-5058 | |
Living Waters Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Main Ave, Logan, WV 25601 Phone: 304-946-8350 |