Southern Illinois Medical Services NFP
Doing business as Logan Primary Care
Rural health clinic in Herrin, IL, Medicare certification number 143870.
Medicare certification
Provider of Services- CCN
- 143870
- Status
- Active
- Provider type
- Rural health clinic
- Control type
- 2B
- Participating since
- Apr 7, 1994
- Last certification
- Oct 13, 2021
- Most recent change of ownership
- Nov 1, 2011 (2 total)
- Address
- 405 Rushing Drive
Herrin, IL 62948
(618) 942-4640
NPI records for this facility (CCN to NPI Mapping) 1
-
dba Logan Primary Care
- Rural Health Clinic/Center
- Herrin, IL
- NPI 1477820900
Medicare enrollment
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.