NPIMap

Organization Active NPI

Logan Health - Conrad

  • Skilled Nursing Facility
  • Conrad, MT
National Provider Identifier
1265425854
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
9650 Issued in MT
Legal business name
LOGAN HEALTH - CONRAD
Doing business as
Logan Health - Conrad
Practice address
805 Sunset Blvd
Conrad, MT 59425-1717
Phone
(406) 271-3211
Fax
(406) 271-3917
NPI assigned
Aug 30, 2005
Last updated
Apr 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 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
Skilled Nursing Facility 314000000X 9650 MT Primary

Addresses

Primary practice location

805 Sunset Blvd
Conrad, MT 59425-1717

Mailing address

805 Sunset Blvd
P O Box 758
Conrad, MT 59425-1717
Phone (406) 271-3211

Other identifiers 2

IdentifierTypeStateIssuer
40292OtherMTBCBS OF MT
100030705MedicaidMT

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
O20210521001715 MT Part A Provider - Skilled Nursing Facility 8921917501 Practice locations: Conrad, MT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265425854. Details of each certification follow.

Skilled nursing facility certification: CCN 275119

Legal name
LOGAN HEALTH - CONRAD
Doing business as
LOGAN HEALTH - CONRAD
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 1987
Last certification
Apr 24, 2025
Beds
59
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Logan Health
Organization structure
CorporationNon-profit
Incorporated
Jun 1, 2021 in MT
Enrollment address
805 Sunset Blvd
Conrad, MT 59425-1717
Nursing home name
LOGAN HEALTH - CONRAD

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Logan Health - ConradCCN 275119 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Sep 1, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5940.2 residents per day on average
Penalties (3 years)
3Fines totaling $27,013

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 32

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 DirectorBoard Member Jan 1, 2026
Managing Control - Governing BodyBoard of Directors Jan 1, 2026
Robert Nystuen Individual Corporate DirectorCorporate Director Jan 1, 2022
Bonnie K Matosich Individual Corporate DirectorBoard Member Sep 17, 2020
Anna Robbins Individual Corporate DirectorExecutive Director Revenue Cycle Jul 12, 2023
Operational/Managerial Control Oct 1, 2023
Adp of the SNF Jun 1, 2022
Vassilis J Siomos Individual Corporate DirectorBoard Member Jul 1, 2022
Justin Ott Individual Corporate OfficerChief Information Officer Aug 28, 2024
Thomas G Ray Individual Corporate DirectorBoard Member Jan 28, 2021
Heidi M Duncan Individual Corporate DirectorBoard Member Sep 1, 2023
Melissa Lundbeck Kaptanian Individual Corporate DirectorBoard Member Sep 1, 2023
Carole Jones Individual Corporate DirectorBoard Member Dec 28, 2021
Managing Control - Governing Body Dec 28, 2021
Ellen Layton Individual Corporate OfficerChief Administrative Officer Aug 28, 2024
Shirley Shriver Individual Operational/Managerial Control Oct 21, 2024
Adp of the SNF Oct 21, 2024
Jay D Taylor Individual Operational/Managerial Control Jan 1, 2008
Adp of the SNF Jan 1, 2008
Brigid B Burke Individual Corporate OfficerChief Financial Officer May 7, 2024
Operational/Managerial Control Jun 1, 2022
Adp of the SNF Jun 1, 2022
Mtwy Health Organization, Kalispell, MT Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jun 1, 2022 100%
Kalispell Regional Medical Center Inc Organization, Kalispell, MT Corporation, Non-profit Operational/Managerial Control Jun 1, 2022
Adp of the SNF Mar 19, 2025
Jane Karas Individual Corporate DirectorBoard Member Sep 1, 2023
Bernard Ries Individual Corporate DirectorBoard Member Jul 1, 2008
Managing Control - Governing Body Jul 1, 2008
Courtney L Stout Paterson Individual Corporate DirectorBoard Member Jul 1, 2019
Clinton W Seger Individual Corporate OfficerChief Executive Officer Sep 1, 2023
Corporate DirectorChief Executive Officer Mar 1, 2026
Alice Gordon Individual Corporate DirectorBoard Member Sep 1, 2023
Patti L Pilgrim Individual Corporate OfficerSystem Chief Financial Officer Sep 1, 2023
Craig Bartholomew Individual Corporate DirectorBoard Member Sep 1, 2023
Conrad Jim Morren Individual Corporate DirectorBoard Member Jan 22, 2019
Managing Control - Governing Body Jan 22, 2019
Vicki Lee Newmiller Individual Corporate OfficerPresident Oct 27, 2023
William D Gibson Individual Corporate OfficerChief Legal Officer Dec 27, 2022
Michael L Goguen Individual Corporate DirectorBoard Member Sep 1, 2023
Michelle Harris Individual Corporate DirectorBoard Member Sep 1, 2023
Debbie Sturm Individual Corporate DirectorBoard Member Jun 25, 2015
Managing Control - Governing Body Jun 25, 2015
Keith Cook Individual Corporate DirectorBoard Member Sep 1, 2023
Sean Bengochea Individual Corporate DirectorBoard Member Jul 1, 2023
Managing Control - Governing Body Jul 1, 2023
Donald Bennett Individual Corporate DirectorBoard Member Jun 1, 2022

Owners & managing parties with NPI records 12

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

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1265425854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SUNSET BLVD",
            "address_2": "P O BOX 758",
            "city": "CONRAD",
            "state": "MT",
            "postal_code": "594251717",
            "telephone_number": "406-271-3211",
            "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": "594251717",
            "telephone_number": "406-271-3211",
            "fax_number": "406-271-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN HEALTH - CONRAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-30",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "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": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MT",
            "license": "9650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MT",
            "identifier": "40292",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100030705",
            "state": "MT"
        }
    ],
    "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": "594251717",
            "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.