Healthcare Provider Details

I. General information

NPI: 1336115849
Provider Name (Legal Business Name): LOGAN HEALTH - WHITEFISH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2006
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 OSLOSKI RD
EUREKA MT
59917
US

IV. Provider business mailing address

304 OSLOSKI RD PO BOX 810
EUREKA MT
59917-9217
US

V. Phone/Fax

Practice location:
  • Phone: 406-297-3145
  • Fax:
Mailing address:
  • Phone: 406-297-3145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number12588
License Number StateMT

VIII. Authorized Official

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