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Logan Primary Care

Primary Care Nurse Practitioner in Herrin, IL · enumerated 2007 · authorized official Tara Deaton, Administrator.

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

National Provider Identifier

1902094352

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Registry record

Entity type Organization (Type 2)
Legal business name Logan Primary Care
Practice address 405 Rushing Dr, Herrin, IL, 62948
Fax (618) 932-3797
Enumeration date Oct 11, 2007
Last updated in NPPES Oct 11, 2007

Taxonomy & classification

363LP2300X Primary Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Tara Deaton
Title Administrator

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.

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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?
Logan Primary Care is registered in NPPES as a Primary Care Nurse Practitioner (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-10-11.