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Logan Primary Care Service Corporation

Rural Health Clinic/Center in Herrin, IL · enumerated 2006 · authorized official Tara Deaton, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1730296880

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Registry record

Entity type Organization (Type 2)
Legal business name Logan Primary Care Service Corporation
Practice address 405 Rushing Dr, Herrin, IL, 62948
Phone (618) 993-3300
Fax (618) 997-6626
Enumeration date Aug 24, 2006
Last updated in NPPES Apr 15, 2008

Taxonomy & classification

261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Tara Deaton
Title Administrator
Phone (618) 993-3300

Other identifiers

Identifier Type State Issuer
143870 Medicaid IL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Logan Primary Care Service Corporation?
Logan Primary Care Service Corporation is registered in NPPES as a Rural Health Clinic/Center (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-15.