NPIMap

Organization Active NPI

Logan Health - Shelby

Doing business as Marias Medical Center

  • Critical Access Hospital
  • Shelby, MT
National Provider Identifier
1497742415
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
9688 Issued in MT
Legal business name
LOGAN HEALTH - SHELBY
Doing business as
Marias Medical Center
Practice address
640 Park Ave
Shelby, MT 59474-1663
Phone
(406) 434-3200
NPI assigned
Oct 4, 2005
Last updated
Mar 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X
Critical Access Hospital 282NC0060X 9688 MT Primary
Ambulance 341600000X

Addresses

Primary practice location

640 Park Ave
Shelby, MT 59474-1663

Mailing address

PO Box 915
Shelby, MT 59474-0915
Phone (406) 434-3200

Other identifiers 1

IdentifierTypeStateIssuer
100031270MedicaidMT

Other names 1

  • Marias Medical Center Doing business as

Electronic endpoints 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20060405000726 MT Part B Supplier - Clinic/Group Practice 7719995240 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Shelby, MT
O20210629003620 MT Part A Provider - Critical Access Hospital 6608285192 Receives reassigned benefits from 68 practitioners
Practice locations: Shelby, MT
O20210630003187 MT Part A Provider - Critical Access Hospital 6608285192 Practice locations: Shelby, MT
O20220624001997 MT Part B Supplier - Clinic/Group Practice 6608285192 Receives reassigned benefits from 69 practitioners
1 other NPI on this enrollment
Practice locations: Shelby, MT

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1497742415. Details of each certification follow.

Hospital certification: CCN 271328

Legal name
LOGAN HEALTH - SHELBY
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Oct 1, 2002
Last certification
Aug 31, 2023
Beds
21
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
May 9, 2021 in MT
Enrollment address
640 Park Ave
Shelby, MT 59474-1663
Main/Primary Hospital Location

Hospital certification: CCN 27Z328

Legal name
LOGAN HEALTH - SHELBY
Organization structure
CorporationNon-profit
Incorporated
May 9, 2021 in MT
Enrollment address
640 Park Ave
Shelby, MT 59474-1663
Hospital Swing-Bed Unit

Hospital certification: CCN 270026

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
MARIAS MEDICAL CENTER
Certification status
Terminated Other: provider status change, Sep 30, 2002
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Sep 1, 1998
Beds
20
Ownership / control type
Local
Facility address
640 Park Dr Box P
Shelby, MT 59474

Other NPIs with the same Medicare PAC ID 2

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

  • Toole County

    dba Marias Medical Center CAH

    • Land Ambulance
    • Shelby, MT
    • NPI 1659368512

    7719995240

    Same PAC ID
  • Toole County

    dba Toole County Health Department

    • Public Health or Welfare Agency
    • Shelby, MT
    • NPI 1720136195

    7719995240

    Same PAC ID

Other NPIs on the same Medicare enrollment 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Logan Health - ShelbyCCN 271328 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
27D0652515Logan Health Shelby640 Park Ave, Shelby, MT 59474AccreditationMar 3, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the 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
Kevin Abel Individual Corporate Officer May 15, 2024
Corporate Director May 15, 2024
Mary a Harwood Individual Corporate Director May 9, 2021
Anna Robbins Individual W-2 Managing Employee Jul 12, 2023
Operational/Managerial Control Jul 12, 2023
Justin Ott Individual Corporate Officer Aug 28, 2024
Shannon McAllister Individual Corporate Director Jul 1, 2023
Jade M Goroski Individual Corporate Director May 9, 2021
Heidi M Duncan Individual Corporate Director Sep 1, 2023
Melissa Lundbeck Kaptanian Individual Corporate Director Aug 8, 2024
Corporate Director Aug 28, 2024
Ellen Layton Individual Corporate Officer Aug 28, 2024
Brigid B Burke Individual Corporate Officer May 15, 2024
Mtwy Health Organization, Kalispell, MT Corporation, Non-profit 5% Or Greater Direct Ownership Interest May 9, 2021 100%
Operational/Managerial Control May 9, 2021 100%
Jane Karas Individual Corporate Director Sep 1, 2023
Marigail Anderson Individual Corporate Director Mar 1, 2025
Clinton W Seger Individual Corporate Officer Sep 1, 2023
Corporate Director Sep 1, 2023
Alice Gordon Individual Corporate Director Sep 1, 2023
Billiette M Coolidge Individual Corporate Director May 9, 2021
Patti L Pilgrim Individual Corporate Officer Jan 6, 2025
Craig Bartholomew Individual Corporate Director Sep 1, 2023
Vicki Lee Newmiller Individual Corporate Officer Apr 1, 2022
W-2 Managing Employee Apr 1, 2022
William D Gibson Individual Corporate Officer May 9, 2021
Michael L Goguen Individual Corporate Director Sep 1, 2023
Michelle Harris Individual Corporate Director Sep 1, 2023
Keith Cook Individual Corporate Director Sep 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 74

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 74

Affiliated clinicians 64

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

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1497742415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 915",
            "city": "SHELBY",
            "state": "MT",
            "postal_code": "594740915",
            "telephone_number": "406-434-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 PARK AVE",
            "city": "SHELBY",
            "state": "MT",
            "postal_code": "594741663",
            "telephone_number": "406-434-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN HEALTH - SHELBY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MT",
            "license": "9688",
            "primary": true
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100031270",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Logan Health - Shelby",
            "address_1": "640 Park Ave",
            "city": "Shelby",
            "state": "MT",
            "country_code": "US",
            "postal_code": "594741663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Marias Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelby, MT

Sources for this page

Verify at the official NPI Registry.