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CAH271324-00 Logan Health - Conrad (Active)
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Main Details
Name
Logan Health - Conrad
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH271324-00
Medicare Provider Number
271324
Additional Details
Current Program Status
Active
Registration Date
8/15/2012
Participating Start Date
10/1/2012
Participating Approval Date
9/10/2012
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Logan Health Shelby
Vicki Newmiller, President
(406) 271-3211
Primary Contact
Logan Health - Conrad, Logan Health - Shelby
Kristen Russell, Pharmacy Manager
(406) 271-3211 Ext: 4064343283
Addresses
Street Address
805 Sunset Blvd
Conrad, MT 59425
Billing Address
Logan Health - Conrad
P.O. Box 668
Conrad, MT 59425
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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