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	207Q00000X	Family Medicine Physician
2	261Q00000X	Clinic/Center
3	261QR1300X	Rural Health Clinic/Center	12588	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	:	1285948539
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOGAN HEALTH - WHITEFISH

Provider Business Mailing Address
First Line	:	1600 HOSPITAL WAY
Second Line	:
City	:	WHITEFISH
State	:	MT
Zip	:	59937-7849
Country	:	US
Telephone Number	:	406-863-3500
Fax Number	:

Provider Business Practice Location Address
First Line	:	1675 TALBOT RD
Second Line	:
City	:	COLUMBIA FALLS
State	:	MT
Zip	:	59912-4416
Country	:	US
Telephone Number	:	406-892-3208
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KEVIN ABEL
Credential	:
Telephone Number	:	406-752-1724

Provider Enumeration Date	:	07/28/2010
Last Update Date	:	04/10/2025

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