institution
Logan Primary Care Service Corporation
Rural Health Clinic/Center in Herrin, Illinois
NPI 1730296880

Logan Primary Care Service Corporation is a Rural Health Clinic/Center based in Herrin, IL and is specialized in Rural Health. Logan Primary Care Service Corporation practices in Herrin, IL. The NPI Number for Logan Primary Care Service Corporation is 1730296880 and holds a License No. (Illinois).

The current practice location address for Logan Primary Care Service Corporation is 405 Rushing Dr, Herrin, IL and can be reached out via phone at 618-993-3300 and via fax at 618-997-6626.

Location: 405 Rushing Dr, Herrin, IL, 62948
institution
Provider Profile Details
NPI Number
1730296880
Provider Name
Logan Primary Care Service Corporation
Credential
Provider Entity Type
Organization
Address
405 Rushing Dr, Herrin, IL, 62948
Phone Number
618-993-3300
Fax Number
618-997-6626
Provider Enumeration Date
08/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
143870 05 IL
institution
Provider Business Practice Location Address Details
Address
405 Rushing Dr
City
State
Zip
62948
Phone Number
618-993-3300
Fax Number
618-997-6626
person
Provider Business Mailing Address Details
Address
405 Rushing Dr
City
State
Zip
62948
Phone Number
618-993-3300
Fax Number
618-997-6626
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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