LOGAN PRIMARY CARE SERVICE CORP. – Rural Health Clinic/Center, NPI 1023123346

LOGAN PRIMARY CARE SERVICE CORP. is a healthcare provider. based in West frankfort, Illinois. specializing in Rural Health Clinic/Center. The organization holds a License No. 036099669 (IL). The NPI Number for LOGAN PRIMARY CARE SERVICE CORP. is 1023123346

Main info

Organization
Name
LOGAN PRIMARY CARE SERVICE CORP.
NPI
1023123346
Phone
(618) 997-3400
Address
502 W ST LOUIS
Authorized Official
TARA G DEATON ADMINISTRATOR
Enumeration Date
19 August 2006
Last Update Date
16 March 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for LOGAN PRIMARY CARE SERVICE CORP.

  • East Saint Louis Street, Frankfort, West Frankfort, Franklin County, Illinois, 62896, United States

    WEST FRANKFORT, IL 62896

    Phone: (618) 997-3400

    Fax: (618) 932-3797

    Type: Location

  • SIH Medical Group, 405, Rushing Drive, Herrin, Williamson County, Illinois, 62948, United States

    HERRIN, IL 62948

    Phone: (618) 993-3300

    Fax: (618) 997-6626

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62896)

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Reviews

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Frequently asked questions

Can I verify LOGAN PRIMARY CARE SERVICE CORP. with an NPI only?
You can start verification with NPI 1023123346 for LOGAN PRIMARY CARE SERVICE CORP., then check state licensing separately.
Does CMS list LOGAN PRIMARY CARE SERVICE CORP. as active?
Yes — LOGAN PRIMARY CARE SERVICE CORP. is active in the NPI listing used on this page.
What is LOGAN PRIMARY CARE SERVICE CORP.'s primary classification?
Rural Health Clinic/Center is the headline specialty for LOGAN PRIMARY CARE SERVICE CORP. here. Clinical services aligned with this taxonomy classification.
Does LOGAN PRIMARY CARE SERVICE CORP. list a practice location?
Patients near West Frankfort, Illinois may find LOGAN PRIMARY CARE SERVICE CORP. in results; validate coverage separately.
Is the information about LOGAN PRIMARY CARE SERVICE CORP. up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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