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CAH271336-01 Logan Health - Whitefish (Active)
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Main Details
Name
Logan Health - Whitefish
Subdivision Name
Logan Health Primary Care - Eureka
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH271336-01
Medicare Provider Number
271336
Outpatient Facility Provider Number
273423
Additional Details
Current Program Status
Active
Registration Date
2/5/2018
Participating Start Date
2/6/2018
Participating Approval Date
2/6/2018
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
304 OSLOSKI RD
EUREKA, MT 59917
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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