institution
Logan Primary Care Service Corp.
Rural Health Clinic/Center in West Frankfort, Illinois
NPI 1023123346

Logan Primary Care Service Corp. is a Rural Health Clinic/Center based in Herrin, IL and is specialized in Rural Health. Logan Primary Care Service Corp. practices in West Frankfort, IL. The NPI Number for Logan Primary Care Service Corp. is 1023123346 and holds a License No. 036099669 (Illinois).

The current practice location address for Logan Primary Care Service Corp. is 502 W St Louis, West Frankfort, IL and can be reached out via phone at 618-997-3400 and via fax at 618-932-3797.

Location: 502 W St Louis, West Frankfort, IL, 62948
institution
Provider Profile Details
NPI Number
1023123346
Provider Name
Logan Primary Care Service Corp.
Credential
Provider Entity Type
Organization
Address
502 W St Louis, West Frankfort, IL, 62948
Phone Number
618-997-3400
Fax Number
618-932-3797
Provider Enumeration Date
08/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
148969 05 IL
10019630 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
502 W St Louis
City
State
Zip
62896
Phone Number
618-997-3400
Fax Number
618-932-3797
person
Provider Business Mailing Address Details
Address
502 W St Louis
City
State
Zip
62896
Phone Number
618-997-3400
Fax Number
618-932-3797
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
036099669 (Illinois)
Definition
Definition to come...
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