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CAH271336-05 Logan Health - Whitefish (Active)
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Main Details
Name
Logan Health - Whitefish
Subdivision Name
Logan Health Behavioral Health Clinic - Whitefish
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH271336-05
Medicare Provider Number
271336
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/9/2019
Participating Start Date
7/1/2019
Participating Approval Date
4/22/2019
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
2004 HOSPITAL WAY
WHITEFISH, MT 59937
Billing Address
Logan Health - Whitefish
1600 HOSPITAL WAY
WHITEFISH, MT 59937
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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