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General NPI Number Information
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NPI Number | 1487085098
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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 | 12/06/2013
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 2004 HOSPITAL WAY
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City | WHITEFISH
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State | MT
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Zip | 59937
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Country | US
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Telephone | 406-862-1030
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Fax | 406-862-1556
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Provider Business Mailing Address
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Address Line | 2004 HOSPITAL WAY
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City | WHITEFISH
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State | MT
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Zip | 59937-7858
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Country | US
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Telephone | 406-862-1030
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Fax | 406-862-1556
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Authorized Official
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Title or Position | PRESIDENT
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Name | KEVIN ABEL
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Credential |
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Telephone | 406-752-1724
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 12588
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 26874
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License Number State | MT
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