LOGAN PRIMARY CARE SERVICE CORPORATION
NPI 1730296880
Clinic/Center - Rural Health in Herrin, IL
NPI Status: Active since August 24, 2006
Contact Information
405 RUSHING DR
HERRIN, IL
ZIP 62948
Phone: (618) 993-3300
Fax: (618) 997-6626
- Organization
- Clinic/Center
- Rural Health
About LOGAN PRIMARY CARE SERVICE CORPORATION
This page provides the complete NPI Profile along with additional information for Logan Primary Care Service Corporation, a primary care provider established in Herrin, Illinois operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1730296880 assigned on August 2006. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mrs. Tara Gayel Deaton (Administrator)
- NPI
- 1730296880
- Provider Name
- LOGAN PRIMARY CARE SERVICE CORPORATION
- Entity Type
- Organization
- Location Address
- 405 RUSHING DR HERRIN, IL 62948
- Location Phone
- (618) 993-3300
- Location Fax
- (618) 997-6626
- Mailing Address
- 405 RUSHING DR HERRIN, IL 62948
- Mailing Phone
- (618) 993-3300
- Mailing Fax
- (618) 997-6626
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-24-2006
- Last Update Date
- 04-15-2008
- Code Navigator
A primary care provider (PCP) like Logan Primary Care Service Corporation 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
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 336570 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| E26544 | MEDICARE UPIN (02) | ||
| 143870 | MEDICAID (05) | 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 | 7 | 3 | 0 | 2 | 9 | 6 | 8 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 6 | 0 | 4 | 9 | 12 | 8 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 6 + 0 + 4 + 9 + 1 + 2 + 8 + 1 + 6 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1730296880 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1891809810 | RUSSELL W BROWN D.O. Individual | Family Medicine | 405 RUSHING DR HERRIN, IL 62948 (618) 993-3300 |
| 1194913541 | LOGAN PRIMARY CARE Organization | Physician Assistant | 405 RUSHING DR HERRIN, IL 62948 (618) 993-3300 |
| 1902094352 | LOGAN PRIMARY CARE Organization | Nurse Practitioner (Primary Care) | 405 RUSHING DR HERRIN, IL 62948 (618) 993-3300 |
| 1992951123 | LOGAN PRIMARY CARE Organization | Physician Assistant (Medical) | 405 RUSHING DR HERRIN, IL 62948 (618) 993-3300 |
| 1255681557 | KALLIE M FRENCH PAC Individual | Physician Assistant | 405 RUSHING DR HERRIN, IL 62948 (618) 993-3300 |
| 1841344876 | DR. PRAMOTE ANANTACHAI MD Individual | Internal Medicine | 405 RUSHING DR HERRIN, IL 62948 (618) 993-3300 |
| 1538722202 | KATHY SUE DEVOUS AGACNP-BC Individual | Nurse Practitioner (Family) | 405 RUSHING DR HERRIN, IL 62948 (618) 993-3300 |
| 1093227613 | LENORA ANN LEVIN Individual | Social Worker (Clinical) | 405 RUSHING DR HERRIN, IL 62948 (618) 993-3300 |
| 1821102849 | MARK J KORTE M.D. Individual | Family Medicine | 405 RUSHING DR HERRIN, IL 62948 (618) 993-3300 |
| 1629640594 | CHRISTINA ETHERTON NP Individual | Nurse Practitioner | 405 RUSHING DR HERRIN, IL 62948 (618) 993-3300 |
| 1619412475 | JESSICA LOHMAN NP Individual | Nurse Practitioner | 405 RUSHING DR HERRIN, IL 62948 (618) 993-3300 |
| 1982344214 | TIFFANY COLBORN NP Individual | Nurse Practitioner | 405 RUSHING DR HERRIN, IL 62948 (618) 993-3300 |
| 1396859328 | ANNA L ANDERSON PA-C Individual | Physician Assistant | 405 RUSHING DR HERRIN, IL 62948 (618) 993-3300 |
| 1013362227 | KRISTIN FRANCIS LCSW Individual | Social Worker (Clinical) | 405 RUSHING DR HERRIN, IL 62948 (618) 993-3300 |
| 1184196883 | LESLIE ANN HICKMAN NP Individual | Nurse Practitioner | 405 RUSHING DR HERRIN, IL 62948 (618) 993-3300 |
| 1497869440 | ROBIN GALLO PA-C Individual | Physician Assistant | 405 RUSHING DR HERRIN, IL 62948 (618) 993-3300 |
| 1770032948 | AUSTIN MICHAEL STALLINGS PA-C Individual | Physician Assistant | 405 RUSHING DR HERRIN, IL 62948 (618) 993-3300 |
| 1912163189 | MICAH OAKLEY PA-C Individual | Physician Assistant | 405 RUSHING DR HERRIN, IL 62948 (618) 993-3300 |
| 1043466576 | DR. GOWDA SHARATH MD Individual | Internal Medicine | 405 RUSHING DR HERRIN, IL 62948 (618) 993-3300 |
| 1982480257 | GILLIAN MCVICAR PA-C Individual | Physician Assistant | 405 RUSHING DR HERRIN, IL 62948 (618) 993-3300 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730296880, enumerated in the NPI registry as an "organization" on August 24, 2006
The provider is located at 405 Rushing Dr Herrin, Il 62948 and the phone number is (618) 993-3300
This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on August 24, 2006. 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.