| NPI | 1215204938 |
|---|---|
| Doing Business As | LOGAN PRIMARY CARE SERVICE |
| Entity Type | Organization |
| Authorized Contact | WARREN P LADNER Senior VP Chief Financial Officer 618-457-5200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2025-08-13 |