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CAH271336-00 Logan Health - Whitefish (Active)
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Main Details
Name
Logan Health - Whitefish
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH271336-00
Medicare Provider Number
271336
Additional Details
Current Program Status
Active
Registration Date
3/16/2011
Participating Start Date
7/1/2011
Participating Approval Date
5/17/2011
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Logan Health-Whitefish
Kevin Abel, President
(406) 863-3500
Primary Contact
Logan Health-Whitefish
Andrew Matulionis, Director of Pharmacy
(406) 863-3510
Addresses
Street Address
1600 HOSPITAL WAY
WHITEFISH, MT 59937-2990
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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2/24/12 - Deleted medicaid # (was 41-3508)
03/02/2012
May 2025
May 2025
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