Healthcare Provider Details

I. General information

NPI: 1285948539
Provider Name (Legal Business Name): LOGAN HEALTH - WHITEFISH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2010
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1675 TALBOT RD
COLUMBIA FALLS MT
59912-4416
US

IV. Provider business mailing address

1600 HOSPITAL WAY
WHITEFISH MT
59937-7849
US

V. Phone/Fax

Practice location:
  • Phone: 406-892-3208
  • Fax:
Mailing address:
  • Phone: 406-863-3500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number12588
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: CLINTON SEGER
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MD
Phone: 406-752-1724