Logan Primary Care Service Corporation
NPI #1730296880 in Herrin, Illinois
Provider Information
- NPI Number
- 1730296880
- Entity Type
- Organization
- Organization Name
- Logan Primary Care Service Corporation
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Aug 24, 2006
- Last Updated
- Apr 15, 2008
Practice Location
Authorized Official
- Name
- MRS. TARA GAYEL DEATON
- Title
- ADMINISTRATOR
- Phone
- (618) 993-3300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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