# LOGAN HEALTH - CONRAD

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

## Provider details

- **NPI number:** 1790803765
- **Authorized official:** VICKI NEWMILLER (PRESIDENT)
- **Authorized official phone:** (406) 434-3207

## Contact information

- **Practice address:** 15 5TH AVE SW, CONRAD, MT 59425-2521
- **Practice address phone:** (406) 271-3211
- **Practice address fax:** (406) 271-3917
- **Mailing address:** 805 SUNSET BLVD, PO 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 |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 04/26/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000060712 | BCBS | MT |
| 05 | — | 0441285 | — | MT |
