Logan Primary Care Service Corporation
NPI 1821105974 · Family Medicine Physician · Herrin, IL
Logan Primary Care Service Corporation is a Family Medicine Physician organization in Herrin, IL (NPI 1821105974).
Provider details
- NPI number
- 1821105974
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tara Deaton, Administrator(618) 993-3300
- License
- 036099669 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-24
- Last updated
- 2007-11-29
Frequently asked questions
- What is Logan Primary Care Service Corporation's NPI number?
- Logan Primary Care Service Corporation's National Provider Identifier (NPI) is 1821105974, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Logan Primary Care Service Corporation?
- Logan Primary Care Service Corporation is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Logan Primary Care Service Corporation located?
- Logan Primary Care Service Corporation's practice location on file with NPPES is 405 Rushing Drive, Herrin, IL 62948.
- What is Logan Primary Care Service Corporation's phone number?
- The practice phone number listed in the NPPES registry for Logan Primary Care Service Corporation is (618) 993-3300.
- Who is the authorized official for Logan Primary Care Service Corporation?
- The authorized official listed on Logan Primary Care Service Corporation's NPPES record is Tara Deaton, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Logan Primary Care Service Corporation's NPI active?
- Yes — Logan Primary Care Service Corporation's NPI (1821105974) is active in the NPPES registry as of the last update on 2007-11-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.