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LOGAN HEALTH - SHELBY NPI 1497742415


NPI Information

NPI: 1497742415
Provider Name: LOGAN HEALTH - SHELBY

Doing Business As: MARIAS MEDICAL CENTER

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

CLIA Number: 27D0652515

Address:
640 PARK AVE
SHELBY, MT
ZIP 59474
Phone: (406) 434-3207
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LOGAN HEALTH - SHELBY is a critical access general acute care hospital in Shelby, MT. LOGAN HEALTH - SHELBY NPI is 1497742415. The provider is registered as an organization entity type.
The provider Is Doing Business As Marias Medical Center.

The provider's business location address is:

640 PARK AVE
SHELBY, MT
ZIP 59474-663
Phone: (406) 434-3207

The provider's authorized official is William D Gibson .
The authorized official title is Secretary and has the following contact phone number (406) 752-1724.

The CLIA number assigned to this NPI record is 27D0652515 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/4/2005 and was last updated on 6/27/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1275N00000XMedicare Defined Swing Bed UnitNo
2282NC0060XGeneral Acute Care HospitalCritical Access9688MONTANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10413049MEDICAIDMONTANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.