NPIMap

Organization Active NPI

Logan Health - Conrad

  • Critical Access Hospital
  • Conrad, MT
National Provider Identifier
1467445049
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
9773 Issued in MT
Legal business name
LOGAN HEALTH - CONRAD
Doing business as
Logan Health - Conrad
Practice address
805 Sunset Boulevard
Conrad, MT 59425-0758
Phone
(406) 271-3211
Fax
(406) 271-3917
NPI assigned
Aug 29, 2005
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 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
Critical Access Hospital 282NC0060X 9773 MT Primary

Addresses

Primary practice location

805 Sunset Boulevard
Conrad, MT 59425-0758

Mailing address

PO Box 758
Conrad, MT 59425-0758
Phone (406) 271-3211

Other identifiers 2

IdentifierTypeStateIssuer
100030406MedicaidMT
60712OtherMTBLUE CROSS / BLUE SHIELD

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 MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040304001137 MT Part B Supplier - Clinic/Group Practice 8921917501 Receives reassigned benefits from 75 practitioners
5 other NPIs on this enrollment
Practice locations: Conrad, MT
O20210521001159 MT Part A Provider - Critical Access Hospital 8921917501 Receives reassigned benefits from 58 practitioners
Practice locations: Conrad, MT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467445049. Details of each certification follow.

Hospital certification: CCN 271324

Legal name
LOGAN HEALTH - CONRAD
Doing business as
LOGAN HEALTH - CONRAD
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jun 1, 2002
Last certification
Mar 27, 2024
Beds
20
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Feb 3, 1975 in MT
Enrollment address
805 Sunset Blvd
Conrad, MT 59425-1717
Main/Primary Hospital Location

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).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Pondera Medical CenterCCN 271324 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

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 Jan 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

Practitioners 79

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 79

Affiliated clinicians 75

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

View all 75

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1467445049",
    "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": "406-271-3211",
            "fax_number": "406-271-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 SUNSET BOULEVARD",
            "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": "2005-08-29",
        "last_updated": "2025-09-02",
        "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": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MT",
            "license": "9773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100030406",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "60712",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Logan Health - Conrad",
            "address_1": "805 Sunset Boulevard",
            "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.