# LOGAN HEALTH - CONRAD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Logan Health - Conrad
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265425854
- **Authorized official:** VICKI NEWMILLER (PRESIDENT)
- **Authorized official phone:** (406) 434-3201

## Contact information

- **Practice address:** 805 SUNSET BLVD, CONRAD, MT 59425-1717
- **Practice address phone:** (406) 271-3211
- **Practice address fax:** (406) 271-3917
- **Mailing address:** 805 SUNSET BLVD, P O BOX 758, CONRAD, MT 59425-1717
- **Mailing address phone:** (406) 271-3211
- **Mailing address fax:** (406) 271-3917

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 9650 | MT | Yes |

## Other

- **Enumeration date:** 08/30/2005
- **Last updated:** 04/16/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100030705 | — | MT |
| 01 | — | 40292 | BCBS OF MT | MT |