LOGAN PRIMARY CARE SERVICE CORP.
NPI 1396850616
Clinic/Center - Rural Health in Herrin, IL

Q: What is Logan Primary Care Service Corp.'s NPI number?

The NPI number for Logan Primary Care Service Corp. is 1396850616. It was assigned to this organization in the NPPES registry on August 19, 2006.

Q: What is Logan Primary Care Service Corp.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since August 19, 2006

405 RUSHING DRIVE, HERRIN, IL 62948(618) 993-3300(618) 997-6626 Get Directions Write a Review

NPPES record last updated: March 16, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Logan Primary Care Service Corp. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOGAN PRIMARY CARE SERVICE CORP. (NPI 1396850616) is a healthcare organization registered as a rural health in Herrin, Illinois and active in the NPI registry since August 2006. The organization lists Tara G Deaton, Administrator, as its authorized official.

NPPES Registry Identity

NPI1396850616

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameLOGAN PRIMARY CARE SERVICE CORP.

Location Address405 RUSHING DRIVEHerrin, IL 62948

Mailing Address405 Rushing DriveHerrin, IL 62948 · (618) 993-3300 · Fax (618) 997-6626

Phone(618) 993-3300

Fax(618) 997-6626

Organization SubpartNo

Authorized OfficialTara G DeatonAdministrator · (618) 993-3300

Enumeration DateAugust 19, 2006

Last NPPES UpdateMarch 16, 2012

✔ NPI 1396850616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

License✔ Licensed in IL · 036081556

405 RUSHING DRIVE, Herrin, IL 62948

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Other Identifiers 1

Medicare OSCAR/certification143870IL

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK L SMITH MD

Family Medicine

405 RUSHING DRIVE
HERRIN, IL 62948

Williamson County (618) 943-3300

MICHAEL AARON WORKMAN MD

Family Medicine

405 RUSHING DRIVE
HERRIN, IL 62948

Williamson County (618) 993-3300

LOGAN PRIMARY CARE SERVICE CORPORATION

Family Medicine

405 RUSHING DRIVE
HERRIN, IL 62948

Williamson County (618) 993-3300

KEVIN D OESTMANN MD

Family Medicine

405 RUSHING DRIVE
HERRIN, IL 62948

Williamson County (618) 993-3300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Logan Primary Care Service Corp.'s NPI number?

The NPI number for Logan Primary Care Service Corp. is 1396850616. It was assigned to this organization in the NPPES registry on August 19, 2006.

Where is Logan Primary Care Service Corp. located?

Logan Primary Care Service Corp. is located at 405 Rushing Drive, Herrin, IL 62948. The listed phone number is (618) 993-3300.

What is Logan Primary Care Service Corp.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Logan Primary Care Service Corp. was last updated on March 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.