CAROL LOGAN (NPI# 1417318197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417318197 |
| Entity Type | Individual |
| Full Name | CAROL LOGAN |
| Practice Address |
603 W Delmar Ave Alton IL 62002-4277 |
| Practice Telephone | 6184670640 |
| Mailing Telephone | 6184670640 |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2016-03-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831260033 | Carol Armstrong Logan | Optometrist | 560 Rinehart Rd, Suite 100, Lake Mary, FL 32746-4897 | 2006-11-11 |
| Street Address |
603 W DELMAR AVE |
| City | ALTON |
| State | IL |
| Zip Code | 62002-4277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285272807 | Jersey Community Hospital | Obstetrics & Gynecology | #2 Memorial Drive, Suite 203, Alton, IL 62002 | 2019-12-13 |
| 1912540659 | Kelsi N Harre | Community Health Worker | 2603 N. Rogers Ave., Alton, IL 62002 | 2019-10-25 |
| 1841848322 | Destiny L Miller | Technician | 3429 Meridocia St, Alton, IL 62002 | 2019-08-28 |
| 1942854633 | Jessica Leigh Jump | Speech-Language Pathologist | 453 Bluff Street, Alton, IL 62002 | 2019-07-30 |
| 1194380741 | Vasiliki Kytridou | Dentist | 2800 College Avenue Southern Il University School of De, Building 285, Alton, IL 62002 | 2019-05-08 |
| 1982125910 | Amy Nicole Spalding | Social Worker | 1123 Harrison St, Alton, IL 62002 | 2017-06-29 |
| 1962856310 | Patricia Gregory | Social Worker | 5090 Humbert Rd, Alton, IL 62002 | 2016-04-21 |
| 1447612510 | Alanna Lynn Mcnelly | Chiropractor | 219 Piasa St, Suite 200, Alton, IL 62002 | 2016-03-28 |
| 1174983050 | Roberta's Lovely Ladies Boutique | Mastectomy Fitter | 603 W. Delmar, Alton, IL 62002 | 2016-03-04 |
| 1184081556 | Darcy Graham | Nurse Practitioner | 4 Memorial Dr # 210, Alton, IL 62002 | 2016-01-15 |
| Find all providers in zip 62002 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497126262 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2615 Edwards St Ste 102, Alton, IL 62002-3915 | 2015-10-19 |
| 1902237597 | Well-care Rx & Dme, LLC | Durable Medical Equipment & Medical Supplies | 8115 N Los Ebanos Rd Ste 5, Alton, TX 78573 | 2013-12-06 |
| 1780816629 | At Your Reach D.m.e. LLC | Durable Medical Equipment & Medical Supplies | 116 N Buena Vista St Ste A, Alton, TX 78573-0866 | 2009-08-11 |
| 1912158817 | Falcon Medical Solutions LLC | Durable Medical Equipment & Medical Supplies | 3012 E Main Ave Ste A, Alton, TX 78573-0908 | 2008-10-09 |
| 1154449825 | Myers Pharmacy | Durable Medical Equipment & Medical Supplies | 603 West Highway 160, Alton, MO 65606-0307 | 2007-03-27 |
| 1740321215 | Orthopaedic Solutions, Inc | Durable Medical Equipment & Medical Supplies | 1200 E Broadway, Alton, IL 62002-6501 | 2007-02-09 |
| 1811065105 | Carestat LLC | Durable Medical Equipment & Medical Supplies | 3012 E Main Ave Ste B, Alton, TX 78573-0908 | 2006-12-03 |
| 1356421424 | Hannaford Bros Co LLC | Durable Medical Equipment & Medical Supplies | 80 Wolfeboro Hwy, Alton, NH 03809-4953 | 2006-10-16 |
| 1376508309 | Robertas Lovely Ladies Boutique | Durable Medical Equipment & Medical Supplies | 603 West Delmar, Alton, IL 62002 | 2006-04-20 |
| 1518938919 | Next Step Foot and Ankle Centers, Inc | Durable Medical Equipment & Medical Supplies | 3505 College Ave, Suite B, Alton, IL 62002-5065 | 2006-02-01 |
| Find all providers in ALTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.