Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Logan Primary Care Service Corp

Organization Rural Health Clinic/Center · NPI 1396850616

Logan Primary Care Service Corp is a Rural Health Clinic/Center in Herrin, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

405 Rushing Dr
Herrin, IL 62948
Phone: (618) 993-3300
Fax: (618) 997-6626
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X · Licence 036081556 (IL)

Record details

NPI number1396850616
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara Deaton — Administrator · (618) 993-3300
NPI enumeratedAugust 19, 2006
Last updated in NPPESMarch 16, 2012
Mailing address405 Rushing Drive, Herrin, IL 62948

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