LOGAN PRIMARY CARE SERVICE
NPI 1215204938
Clinic/Center - Rural Health in West Frankfort, IL
NPI Status: Active since November 23, 2011
Contact Information
502 W SAINT LOUIS ST STE 4
WEST FRANKFORT, IL
ZIP 62896
Phone: (618) 997-3400
Fax: (618) 997-9324
- Organization
- Clinic/Center
- Rural Health
About LOGAN PRIMARY CARE SERVICE
This page provides the complete NPI Profile along with additional information for Logan Primary Care Service, a primary care provider established in West Frankfort, Illinois operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1215204938 assigned on November 2011. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Logan Primary Care Service. The authorized official of this NPI record is Warren P Ladner (Senior Vp Chief Financial Officer)
- NPI
- 1215204938
- Provider Legal Name
- SOUTHERN ILLINOIS MEDICAL SERVICES, NFP
- Other Organization Name
- LOGAN PRIMARY CARE SERVICE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 502 W SAINT LOUIS ST STE 4 WEST FRANKFORT, IL 62896
- Location Phone
- (618) 997-3400
- Location Fax
- (618) 997-9324
- Mailing Address
- PO BOX 3988 CARBONDALE, IL 62902
- Mailing Phone
- (618) 457-5200
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-23-2011
- Last Update Date
- 01-07-2025
- Code Navigator
A primary care provider (PCP) like Logan Primary Care Service sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rural Health
- Taxonomy Code
- 261QR1300X
- Type
- Ambulatory Health Care Facilities
- License State
- IL
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 1 | 5 | 2 | 0 | 4 | 9 | 3 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 4 | 0 | 8 | 9 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 4 + 0 + 8 + 9 + 6 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1215204938 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1962041830 | AMY STACEY PA Individual | Physician Assistant | 502 W SAINT LOUIS ST STE 4 WEST FRANKFORT, IL 62896 (618) 937-3400 |
| 1649210766 | DAVID MASON PA-C Individual | Physician Assistant | 502 W SAINT LOUIS ST STE 4 WEST FRANKFORT, IL 62896 (618) 937-3400 |
| 1992894703 | MR. ROBERT THOMAS DINGA PA-C Individual | Physician Assistant | 502 W SAINT LOUIS ST STE 4 WEST FRANKFORT, IL 62896 (618) 937-3400 |
| 1508476615 | ADAM WALLER NP Individual | Nurse Practitioner | 502 W SAINT LOUIS ST STE 4 WEST FRANKFORT, IL 62896 (618) 937-3400 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215204938, enumerated in the NPI registry as an "organization" on November 23, 2011
The provider is located at 502 W Saint Louis St Ste 4 West Frankfort, Il 62896 and the phone number is (618) 997-3400
This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health
This NPI record was last updated on November 23, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.