MEDICARE: LOGAN HEALTH - WHITEFISH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy
2	3336C0003X	Community/Retail Pharmacy	44000	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346394798
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOGAN HEALTH - WHITEFISH

Provider Business Mailing Address
First Line	:	2100 9TH ST W
Second Line	:
City	:	COLUMBIA FALLS
State	:	MT
Zip	:	59912-4416
Country	:	US
Telephone Number	:	406-892-9997
Fax Number	:	406-892-2376

Provider Business Practice Location Address
First Line	:	2100 9TH ST W
Second Line	:
City	:	COLUMBIA FALLS
State	:	MT
Zip	:	59912-4416
Country	:	US
Telephone Number	:	406-892-9997
Fax Number	:	406-892-2376

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	KEVIN ABEL
Credential	:
Telephone Number	:	406-863-3530

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	04/10/2025

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