Logan Primary Care Service Corp. in Herrin - Rural Health
Logan Primary Care Service Corp. - NPI 1396850616
Logan Primary Care Service Corp. is a Rural Health in Herrin, Illinois. Logan Primary Care Service Corp. practices all healthcare services and medical treatments related to Rural Health. The NPI Number for Logan Primary Care Service Corp. is 1396850616. The last update date is 2012-03-16.
Logan Primary Care Service Corp.'s current location address is 405 Rushing Drive, Herrin, Illinois. You can contact this provider via phone number 6189933300 and fax number 6189976626. The mailing address for Logan Primary Care Service Corp. is 405 Rushing Drive, Herrin, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Logan Primary Care Service Corp. |
|---|---|
| Address | 405 Rushing Drive, Herrin, Illinois |
| Phone Number | 6189933300 |
| Fax Number | 6189976626 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Deaton G Tara |
| Telephone Number | 6189933300 |
NPI Number Detail
| NPI Number | 1396850616 |
|---|---|
| Provider Enumeration Date | 2006-08-19 |
| Last Updated Date | 2012-03-16 |
Provider Mailing Address Detail
| Address | 405 Rushing Drive |
|---|---|
| City | Herrin |
| State | Illinois (IL) |
| Post Code | 62948 |
| Phone Number | 6189933300 |
| Fax Number | 6189976626 |
Provider's Primary Taxonomy Detail
| Speciality | Rural Health |
|---|---|
| Taxonomy | 261Qr1300X |
| Licence No | 36081556 |
|
Definition: Provides primary care and preventive health services in rural medically underserved areas. |
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What is the unique 10-digit identification code issued to Logan Primary Care Service Corp. by the Centers for Medicare & Medicaid Services?
The Logan Primary Care Service Corp. has been assigned the NPI (National Provider Identifier) 1396850616 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Logan Primary Care Service Corp. located?
The Logan Primary Care Service Corp. is located at 405 Rushing Drive, Herrin, IL 62948.
What is the area of specialization for Logan Primary Care Service Corp., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Logan Primary Care Service Corp. is Rural Health, and the corresponding taxonomy code that categorizes this area of expertise is 261Qr1300X.
When did the Logan Primary Care Service Corp. receive its 1396850616?
The Logan Primary Care Service Corp. was issued its 1396850616 on 2006-08-19, which is the date when the organization was assigned this unique identifier.
As of what date were the Logan Primary Care Service Corp.'s details last updated?
The information pertaining to the Logan Primary Care Service Corp., including its address, specialty, and other details, was most recently updated on 2012-03-16.