Southern Illinois Medical Services NFP
Doing business as Logan Primary Care Services
Rural health clinic in West Frankfort, IL, Medicare certification number 148969.
Medicare certification
Provider of Services- CCN
- 148969
- Status
- Active
- Provider type
- Rural health clinic
- Control type
- 2B
- Participating since
- Feb 3, 2005
- Last certification
- Dec 13, 2024
- Most recent change of ownership
- Nov 1, 2011 (1 total)
- Address
- 502 West St Louis Street, Ste 4
West Frankfort, IL 62896
(618) 937-3400
NPI records for this facility (CCN to NPI Mapping) 1
-
dba Logan Primary Care Service
- Rural Health Clinic/Center
- West Frankfort, IL
- NPI 1215204938
Medicare enrollment
Other rural health clinics in West Frankfort, IL
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.