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CAH271328-00 Logan Health - Shelby (Active)
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Main Details
Name
Logan Health - Shelby
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH271328-00
Medicare Provider Number
271328
Additional Details
Current Program Status
Active
Registration Date
8/31/2012
Participating Start Date
10/1/2012
Participating Approval Date
9/19/2012
Last Recertification Date
9/9/2024
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
640 Park Ave
Shelby, MT 59474
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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11/15/2021
May 2025
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