Logan Medical Clinic

LBN: Phillips County Hospital
Logan Medical Clinic is an health care organization with primary practice located at 214 W Main St , Logan KS 67646-9764. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Phillips County Hospital can be contacted via phone (785) 689-4220, or through Kellerman, Rhonda L via phone (785) 543-5211.

Contact Information

Primary practice address
214 W Main St Logan KS 67646-9764
Phone: (785) 689-4220
Fax: (785) 689-4219
Website:
Map and Directions
Authorized official contact:
Name: Kellerman, Rhonda L
Phone: (785) 543-5211

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0433764 Kansas
Ambulatory Health Care Facilities / Rural Health 261QR1300X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 44437 Kansas

Profile Details

NPI number 1619913613
LBN Legal business name Phillips County Hospital
DBA Doing business as Logan Medical Clinic
Authorized official Kellerman, Rhonda L
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2006
Last updated Apr 23rd, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619913613 NPPES
Kansas MEDICAID 100409050C

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