<unavail> in Logan, WV - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Logan, West Virginia. The current practice location for is 1 Wildcat Way, Logan, West Virginia. For appointments, you can reach them via phone at (304) 688-9949. The mailing address for is 7400 Lynn Ave, Hamlin, West Virginia and phone number is (304) 824-5806.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1366723975. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (304) 688-9949.

Contact Information


	1 Wildcat Way Logan WV 25601-3474
	(304) 688-9949
	(304) 688-9953

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1 Wildcat Way, Logan, West Virginia
Authorized Official Name and Position	Lisa Leach (CEO)
Authorized Official Contact	3048245806
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
7400 Lynn Ave Hamlin WV 25523-1138 Ph: (304) 824-5806	1 Wildcat Way Logan WV 25601-3474 Ph: (304) 688-9949

NPI Details:

NPI Number	1366723975
Provider Enumeration Date	09/09/2011
Last Update Date	03/08/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	6204821879
Medicare Enrollment ID	O20111031000323

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366723975	NPI	-	NPPES
3810022652	Medicaid	WV
51D2055311	Other	WV	CLIA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Logan, WV

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
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 122 Nick Savas Drive, Logan, WV 25601 Phone: 304-752-8081 Fax: 304-752-8083
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 149 Jerry West Hwy Ste 2a, Logan, WV 25601 Phone: 304-688-2373
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
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

- Medicare Primary Care in Logan, WV