NPIMap

Organization Active NPI

Logan Health - Conrad

  • Medicare Defined Swing Bed Hospital Unit
  • Conrad, MT
National Provider Identifier
1114098746
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
LOGAN HEALTH - CONRAD
Doing business as
Logan Health - Conrad
Practice address
805 Sunset Blvd
Conrad, MT 59425-0758
Phone
(406) 271-3211
Fax
(406) 271-3917
NPI assigned
Nov 13, 2006
Last updated
Apr 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Vicki Newmiller
Title
President
Phone
(406) 434-3201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X NU Primary

Addresses

Primary practice location

805 Sunset Blvd
Conrad, MT 59425-0758

Mailing address

PO Box 758
Conrad, MT 59425-0758
Phone (406) 271-2202

Other names 1

  • Logan Health - Conrad Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krmcmedicalrecords@krhdirect.org Logan Health - Conrad

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210521001936 MT Part A Provider - Critical Access Hospital 8921917501 Practice locations: Conrad, MT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114098746. Details of each certification follow.

Hospital certification: CCN 27Z324

Legal name
LOGAN HEALTH - CONRAD
Doing business as
LOGAN HEALTH - CONRAD
Organization structure
CorporationNon-profit
Incorporated
Feb 26, 2003 in MT
Enrollment address
805 Sunset Blvd
Conrad, MT 59425-1717
Hospital Swing-Bed Unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/pondera-d32f6931

Ownership & related parties

All disclosed owners & managing parties 23

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Haley Denzer Individual Corporate Director Jan 1, 2026
Anna Robbins Individual Operational/Managerial Control Jul 12, 2023
Justin Ott Individual Corporate Officer Aug 28, 2024
Heidi M Duncan Individual Corporate Director Sep 1, 2023
Melissa Lundbeck Kaptanian Individual Corporate Director Aug 28, 2024
Carole Jones Individual Corporate Director Dec 28, 2021
Ellen Layton Individual Corporate Officer Aug 28, 2024
Brigid B Burke Individual Corporate Officer May 7, 2024
Mtwy Health Organization, Kalispell, MT Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jun 1, 2022
Operational/Managerial Control Jun 1, 2022
Jane Karas Individual Corporate Director Sep 1, 2023
Bernard Ries Individual Corporate Director Jul 1, 2008
Clinton W Seger Individual Corporate Officer Sep 1, 2023
Corporate Director Sep 1, 2023
Alice Gordon Individual Corporate Director Sep 1, 2023
Patti L Pilgrim Individual Corporate Officer Jan 6, 2025
Craig Bartholomew Individual Corporate Director Sep 1, 2023
Conrad Jim Morren Individual Corporate Director Nov 22, 2019
Vicki Lee Newmiller Individual Corporate Officer Oct 27, 2023
W-2 Managing Employee Oct 27, 2023
William D Gibson Individual Corporate Officer Dec 27, 2022
Michael L Goguen Individual Corporate Director Sep 1, 2023
Michelle Harris Individual Corporate Director Sep 1, 2023
Debbie Sturm Individual Corporate Director Jun 25, 2015
Keith Cook Individual Corporate Director Sep 1, 2023
Sean Bengochea Individual Corporate Director Jul 1, 2023

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 24

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 24

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1114098746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 758",
            "city": "CONRAD",
            "state": "MT",
            "postal_code": "594250758",
            "telephone_number": "406-271-2202",
            "fax_number": "406-271-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 SUNSET BLVD",
            "city": "CONRAD",
            "state": "MT",
            "postal_code": "594250758",
            "telephone_number": "406-271-3211",
            "fax_number": "406-271-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN HEALTH - CONRAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "NEWMILLER",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-434-3201"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Logan Health - Conrad",
            "address_1": "805 Sunset Blvd",
            "city": "Conrad",
            "state": "MT",
            "country_code": "US",
            "postal_code": "594250758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Logan Health - Conrad",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conrad, MT

Sources for this page

Verify at the official NPI Registry.