1023123346 LOGAN PRIMARY CARE SERVICE CORP.

Rural Health Clinic/Center

Active

Basic Information

Organization Name
LOGAN PRIMARY CARE SERVICE CORP.
Enumeration Date
August 19, 2006
Last Update
March 16, 2012
Authorized Official
TARA G DEATON
ADMINISTRATOR
Phone: (618) 993-3300

Practice Location

Address
502 W ST LOUIS
WEST FRANKFORT, IL 62896
Phone
(618) 997-3400
Fax
(618) 932-3797

Mailing Address

Address
405 RUSHING DRIVE
HERRIN, IL 62948
Phone
(618) 993-3300
Fax
(618) 997-6626

Specialties & Taxonomies

Specialty Code Classification License State Primary
Rural Health Clinic/Center
Rural Health
261QR1300X Clinic/Center 036099669 IL Primary

Other Identifiers

Identifier Type State Issuer
148969 05 IL N/A
10019630 01 IL BLUE CROSS BLUE SHIELD

Frequently Asked Questions

What is LOGAN PRIMARY CARE SERVICE CORP.'s NPI number?
LOGAN PRIMARY CARE SERVICE CORP.'s NPI number is 1023123346.
Which doctor has NPI number 1023123346?
The doctor with NPI number 1023123346 is LOGAN PRIMARY CARE SERVICE CORP..
What is LOGAN PRIMARY CARE SERVICE CORP.'s practice address?
LOGAN PRIMARY CARE SERVICE CORP.'s practice address is 502 W ST LOUIS, WEST FRANKFORT, IL, 62896.
Which doctor practices at 502 W ST LOUIS, WEST FRANKFORT, IL, 62896?
LOGAN PRIMARY CARE SERVICE CORP. practices at 502 W ST LOUIS, WEST FRANKFORT, IL, 62896.
What is LOGAN PRIMARY CARE SERVICE CORP.'s mailing address?
LOGAN PRIMARY CARE SERVICE CORP.'s mailing address is 405 RUSHING DRIVE, HERRIN, IL, 62948.
What is LOGAN PRIMARY CARE SERVICE CORP.'s phone number?
LOGAN PRIMARY CARE SERVICE CORP.'s phone number is (618) 997-3400.
Who is (618) 997-3400?
(618) 997-3400 is the phone number for LOGAN PRIMARY CARE SERVICE CORP..
What is LOGAN PRIMARY CARE SERVICE CORP.'s specialty?
LOGAN PRIMARY CARE SERVICE CORP.'s specialty is Rural Health Clinic/Center.
What type of doctor is LOGAN PRIMARY CARE SERVICE CORP.?
LOGAN PRIMARY CARE SERVICE CORP. is a Rural Health Clinic/Center.
Is LOGAN PRIMARY CARE SERVICE CORP. a Rural Health?
Yes, LOGAN PRIMARY CARE SERVICE CORP. is a Rural Health.
Is LOGAN PRIMARY CARE SERVICE CORP. still practicing?
Yes, LOGAN PRIMARY CARE SERVICE CORP. is currently practicing.
Is LOGAN PRIMARY CARE SERVICE CORP. accepting new patients?
LOGAN PRIMARY CARE SERVICE CORP. may be accepting new patients. Please call their office at (618) 997-3400 to inquire about availability.
Is NPI 1023123346 still active?
Yes, NPI 1023123346 is currently active.
Where does LOGAN PRIMARY CARE SERVICE CORP. practice?
LOGAN PRIMARY CARE SERVICE CORP. practices in WEST FRANKFORT, IL.