Logan Primary Care Service Corp.

NPI #1396850616 in Herrin, Illinois

Provider Information

NPI Number
1396850616
Entity Type
Organization
Organization Name
Logan Primary Care Service Corp.
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Aug 19, 2006
Last Updated
Mar 16, 2012

Practice Location

Address
405 RUSHING DRIVE
City
Herrin
ZIP Code
62948
Phone
(618) 993-3300

Authorized Official

Name
TARA G DEATON
Title
ADMINISTRATOR
Phone
(618) 993-3300

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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