Logan Primary Care Service Corporation

  • 1821105974 NPI Number
  • |
  • Actived: 13 years ago
  • |
According to our database, the NPI number for Logan Primary Care Service Corporation is 1821105974 and activated since 13 years ago. Logan Primary Care Service Corporation is an Organization provider specializes in Family Medicine. The provider information was last updated on 11/29/2007.

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Overview of Logan Primary Care Service Corporation

  • NPI number: 1477187045
  • Provider type: Organization
  • Active since: 08/24/2006
  • Last updated: 11/29/2007

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 036099669
  • License State: IL

Provider Mailing Address

  • Address: 405 Rushing Drive
    Herrin, IL 62948
  • Phone: 618-993-3300
  • Fax: 618-997-6626

Provider Practice Location

  • Address: 405 Rushing Drive
    Herrin, IL 62948
  • Phone: 618-993-3300
  • Fax: 618-997-6626

Authorized Official

  • Name: Tara G Deaton
  • Position/Title: Administrator
  • Telephone Number: 618-993-3300

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 036099669
  • License State: IL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 14D0666068
  • Identifier Type: Other
  • Identifier State:
  • Issuer: CLIA

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Logan Primary Care Service Corporation?
  • A: The npi number for Logan Primary Care Service Corporation is 1821105974.
  • Q: What are Logan Primary Care Service Corporation's specialties?
  • A: Logan Primary Care Service Corporation's specialties are Family Medicine and different specialities.
  • Q: Where is Logan Primary Care Service Corporation business practice location?
  • A: Logan Primary Care Service Corporation business practice location is 405 Rushing Drive, Herrin, IL 62948.
  • Q: How to contact Logan Primary Care Service Corporation?
  • A: You can contact Logan Primary Care Service Corporation via 618-993-3300.
  • Q: What is the authorized official for Logan Primary Care Service Corporation?
  • A: The authorized office name is Tara G Deaton with position/title is Administrator and you can reach the authorized official via phone number 6189933300.