LOGAN PHYSICIAN PRACTICE LLC (NPI# 1891031191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891031191 |
| Entity Type | Organization |
| Organization Name | LOGAN PHYSICIAN PRACTICE LLC |
| Other Organization Name | AUBURN COMMUNITY HEALTH CLINIC |
| Practice Address |
128 Sugar Maple Dr Auburn KY 42206-5352 |
| Practice Telephone | 2705425500 |
| Mailing Telephone | 2705425500 |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2013-04-17 |
| Authorized Official Name | JESS N JUDY (PRESIDENT) |
| Authorized Official Telephone | 6153728500 |
| Is Organization Subpart | Y |
| Parent Organization Name | LOGAN PHYSICIAN PRACTICE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| AUBURN COMMUNITY HEALTH CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013408053 | Logan Physician Practice LLC | Internal Medicine | 975 Hopkinsville Rd, Russellville, KY 42276-9774 | 2018-05-25 |
| 1649203043 | Logan Physician Practice LLC | Family Medicine | 147 E 5th St, Russellville, KY 42276-1903 | 2006-07-09 |
| Street Address |
128 SUGAR MAPLE DR |
| City | AUBURN |
| State | KY |
| Zip Code | 42206-5352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902864812 | Cynthia Jean Finley | Nurse Practitioner | 128 Sugar Maple Dr, Auburn, KY 42206-5352 | 2006-05-02 |
| 1639537541 | Cynthia Jo Bond | Nurse Practitioner | 128 Sugar Maple Dr, Auburn, KY 42206-5352 | 2016-02-05 |
| 1750646725 | Trisha Kelly Campbell | Nurse Practitioner | 128 Sugar Maple Dr, Auburn, KY 42206-5352 | 2012-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881138428 | Kristina M Wimpee | Pharmacist | 134 Sugar Maple Drive, Suite A, Auburn, KY 42206 | 2016-12-16 |
| 1477955888 | Heartland Family Pharmacy LLC | Pharmacy | 134 Sugar Maple Dr, Suite A, Auburn, KY 42206 | 2014-09-17 |
| 1265740765 | Logan Physician Practice, LLC | Nurse Practitioner | 128 Sugar Maple Drive, Auburn, KY 42206 | 2010-09-17 |
| 1326194986 | Barry W Stahl | Dentist | 104 East Main Street, Auburn, KY 42206 | 2007-01-26 |
| 1578784245 | Tara M Jackson | Developmental Therapist | 104 G Corum Ln, Auburn, KY 42206-5000 | 2007-05-01 |
| 1093169823 | Tara Jackson | Early Intervention Provider Agency | 104 G Corum Ln, Auburn, KY 42206-5000 | 2016-04-18 |
| 1962867713 | Staples Health Clinic, LLC | Nurse Practitioner | 104 E Main St, Auburn, KY 42206-5106 | 2015-12-21 |
| 1851549422 | Stacia Ashley Staples | Nurse Practitioner | 104 E Main St, Auburn, KY 42206-5106 | 2008-09-08 |
| 1386751709 | James Marvin Staples | Nurse Practitioner | 104 E Main St, Auburn, KY 42206-5106 | 2006-08-23 |
| 1164403564 | Bolster Health Care Group LLC | Skilled Nursing Facility | 139 Pearl St, Auburn, KY 42206-5121 | 2005-11-11 |
| Find all providers in zip 42206 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1649881335 | Emerald Therapy Center, LLC | Clinic/Center | 111 Poplar St, Murray, KY 42071-2571 | 2020-08-14 |
| 1407472319 | Family Health Care Associates 7 Limited Liability Company | Clinic/Center | 422 N Highway 27, Whitley City, KY 42653 | 2020-06-17 |
| 1154950699 | Family Health Care Associates 6 Limited Liability Company | Clinic/Center | 8070 Us Highway 60 W, Lewisport, KY 42351-7087 | 2020-04-06 |
| 1568098838 | Appalachian Regional Healthcare, Inc | Clinic/Center | 186 Breanna Blvd, Suite 100, Salyersville, KY 41465-7525 | 2020-03-19 |
| 1780217794 | Family Health Care Associates 5 Limited Liability Company | Clinic/Center | 74 H&b Partin Lane, Pineville, KY 40977 | 2020-02-18 |
| 1023649514 | Memorial Hospital Inc | Clinic/Center | 485 Memorial Dr Ste 1, Manchester, KY 40962-9111 | 2020-02-03 |
| 1265072946 | Baptist Health Medical Group Inc | Clinic/Center | 800 Hospital Dr Fl 2, Madisonville, KY 42431-1658 | 2020-01-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.