Logan Primary Care

LBN: Southern Illinois Medical Services, Nfp
Logan Primary Care is an health care organization with primary practice located at 405 Rushing Dr , Herrin IL 62948-3730. 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) 993-3300, or through Budde, Rex P via phone (618) 457-5200.

Contact Information

Primary practice address
405 Rushing Dr Herrin IL 62948-3730
Phone: (618) 993-3300
Fax: (619) 997-6626
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 036081556 Illinois

Profile Details

NPI number 1477820900
LBN Legal business name Southern Illinois Medical Services, Nfp
DBA Doing business as Logan Primary Care
Authorized official Budde, Rex P
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 29th, 2011
Last updated Nov 29th, 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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