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General NPI Number Information
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NPI Number | 1346394798
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Entity Type | Organization
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Legal Business Name | LOGAN HEALTH - WHITEFISH
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 2100 9TH ST W
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City | COLUMBIA FALLS
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State | MT
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Zip | 59912-4416
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Country | US
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Telephone | 406-892-9997
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Fax | 406-892-2376
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Provider Business Mailing Address
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Address Line | 2100 9TH ST W
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City | COLUMBIA FALLS
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State | MT
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Zip | 59912-4416
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Country | US
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Telephone | 406-892-9997
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Fax | 406-892-2376
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | KEVIN ABEL
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Credential |
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Telephone | 406-863-3530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 44000
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License Number State | MT
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