Logan Primary Care Service

LBN: Southern Illinois Medical Services, Nfp
Logan Primary Care Service is an health care organization with primary practice located at 502 W St Louis , West Frankfort IL 62896-1968. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Southern Illinois Medical Services, Nfp can be contacted via phone (618) 997-3400, or through Budde, Rex P via phone (618) 457-5200.

Contact Information

Primary practice address
502 W St Louis West Frankfort IL 62896-1968
Phone: (618) 997-3400
Fax: (618) 932-3797
Website:
Map and Directions
Authorized official contact:
Name: Budde, Rex P
Phone: (618) 457-5200

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X Illinois

Profile Details

NPI number 1215204938
LBN Legal business name Southern Illinois Medical Services, Nfp
DBA Doing business as Logan Primary Care Service
Authorized official Budde, Rex P
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 23rd, 2011
Last updated Nov 23rd, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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