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SOUTHERN ILLINOIS MEDICAL SERVICES, NFP
NPI 1477820900
Clinic/Center - Rural Health in Herrin, IL

Active since November 29, 2011
405 RUSHING DR, HERRIN, IL 62948(618) 993-3300(618) 993-0262 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2026, Jan 7, 2025 (2 updates tracked since 2025).

About Southern Illinois Medical Services, Nfp NPPES

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

SOUTHERN ILLINOIS MEDICAL SERVICES, NFP (NPI 1477820900), doing business as Logan Primary Care, is a healthcare organization registered as a rural health in Herrin, Illinois and active in the NPI registry since November 2011. The organization lists Warren P Ladner, Senior Vp Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1477820900
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSOUTHERN ILLINOIS MEDICAL SERVICES, NFP
Location Address405 RUSHING DRHerrin, IL 62948-3730
Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200
Phone(618) 993-3300
Fax(618) 993-0262
Organization SubpartYesParent: Southern Illinois Hospital Services
Authorized OfficialWarren P LadnerSenior Vp Chief Financial Officer · (618) 457-5200
Enumeration DateNovember 29, 2011
Last NPPES UpdateApril 13, 20262 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1477820900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
405 RUSHING DR, Herrin, IL 62948
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Other Names 1

Doing Business AsLogan Primary Care

Other Providers at the Same Location NPPES 20

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

KRISTIN FRANCIS LCSW
Social Worker (Clinical)
405 RUSHING DR
HERRIN, IL 62948
Williamson County (618) 993-3300
DR. GOWDA SHARATH MD
Internal Medicine
405 RUSHING DR
HERRIN, IL 62948
Williamson County (618) 993-3300
LENORA ANN LEVIN
Social Worker (Clinical)
405 RUSHING DR
HERRIN, IL 62948
Williamson County (618) 993-3300
LESLIE ANN HICKMAN NP
Nurse Practitioner
405 RUSHING DR
HERRIN, IL 62948
Williamson County (618) 993-3300
LOGAN PRIMARY CARE
Physician Assistant
405 RUSHING DR
HERRIN, IL 62948
Williamson County (618) 993-3300
KALLIE M FRENCH PAC
Physician Assistant
405 RUSHING DR
HERRIN, IL 62948
Williamson County (618) 993-3300
LAURA UTLEY APN
Nurse Practitioner
405 RUSHING DR
HERRIN, IL 62948
Williamson County (618) 993-3300
VICTORIA DARE NP
Nurse Practitioner
405 RUSHING DR
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 Southern Illinois Medical Services, Nfp's NPI number?

The NPI number for Southern Illinois Medical Services, Nfp is 1477820900. It was assigned to this organization in the NPPES registry on November 29, 2011. The provider is doing business as Logan Primary Care.

Where is Southern Illinois Medical Services, Nfp located?

Southern Illinois Medical Services, Nfp is located at 405 Rushing Dr, Herrin, IL 62948. The listed phone number is (618) 993-3300.

What is Southern Illinois Medical Services, Nfp'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 Southern Illinois Medical Services, Nfp was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.