Logan Primary Care Service Corp. in West Frankfort, IL

Logan Primary Care Service Corp. is a primary clinic (Clinic/center - Rural Health) in West Frankfort, Illinois. The current practice location for Logan Primary Care Service Corp. is 502 W St Louis, West Frankfort, Illinois. For appointments, you can reach them via phone at (618) 997-3400. The mailing address for Logan Primary Care Service Corp. is 405 Rushing Drive, Herrin, Illinois and phone number is (618) 993-3300.

Logan Primary Care Service Corp. is licensed to practice in Illinois (license number 036099669) and its NPI number is 1023123346. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (618) 997-3400.

Contact Information

	Logan Primary Care Service Corp.
	502 W St Louis West Frankfort IL 62896
	(618) 997-3400
	(618) 932-3797

Map and Direction

Primary Care Clinic Profile

Full Name	Logan Primary Care Service Corp.
Speciality	Clinic/center - Rural Health
Location	502 W St Louis, West Frankfort, Illinois
Authorized Official Name and Position	Tara G Deaton (ADMINISTRATOR)
Authorized Official Contact	6189933300
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Logan Primary Care Service Corp. 405 Rushing Drive Herrin IL 62948 Ph: (618) 993-3300	Logan Primary Care Service Corp. 502 W St Louis West Frankfort IL 62896 Ph: (618) 997-3400

NPI Details:

NPI Number	1023123346
Provider Enumeration Date	08/19/2006
Last Update Date	03/16/2012

Medical Identifiers

Medical identifiers for Logan Primary Care Service Corp. such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023123346	NPI	-	NPPES
148969	Medicaid	IL
10019630	Other	IL	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QR1300X	Clinic/center - Rural Health	036099669 (Illinois)	Primary

Reviews and Comments

Clinic/Center in West Frankfort, IL

Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2553 Ken Gray Blvd, West Frankfort, IL 62896 Phone: 618-932-3937 Fax: 618-932-2734
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 502 W Saint Louis St Ste 4, West Frankfort, IL 62896 Phone: 618-997-3400 Fax: 618-997-9324
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 W Saint Louis St, West Frankfort, IL 62896 Phone: 618-932-2200 Fax: 618-932-2202
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 309 W Saint Louis St Ste B, West Frankfort, IL 62896 Phone: 618-932-2200 Fax: 618-932-2202
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 West St Louis Street, West Frankfort Community Health Center, West Frankfort, IL 62896 Phone: 618-937-6409 Fax: 618-937-1619
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 W Saint Louis St, West Frankfort, IL 62896 Phone: 618-937-3526 Fax: 618-932-3619

Logan Primary Care Service Corp. - Primary Care in West Frankfort, IL