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CAH271336-04 Logan Health - Whitefish (Active)
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Main Details
Name
Logan Health - Whitefish
Subdivision Name
Logan Health Primary Care - Columbia Falls
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH271336-04
Medicare Provider Number
271336
Outpatient Facility Provider Number
273424
Additional Details
Current Program Status
Active
Registration Date
10/16/2017
Participating Start Date
1/1/2018
Participating Approval Date
11/1/2017
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
1675 TALBOT RD
COLUMBIA FALLS, MT 59912
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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