Logan Health - Shelby
Organization Active NPI Critical Access Hospital · Shelby, MT
NPI 1497742415 · NPPES record last updated Mar 19, 2026
Key facts
- NPI
- 1497742415
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- 9688 (MT)
- Legal business name
- LOGAN HEALTH - SHELBY
- Practice address
- 640 Park Ave
Shelby, MT 59474-1663 - Phone
- (406) 434-3200
- NPI assigned
- Oct 4, 2005
- Organization subpart
- No
Authorized official
- Name
- Vicki Newmiller
- Title
- President
- Phone
- (406) 434-3201
Owners & managing parties with NPI records 2
-
Heidi M. Duncan, MD
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 2
Member of 1
Facilities with the same owner 24
Practitioners 75
-
Nick Cade Cantrell, M.D.
-
Michael Cathey, M.D.
-
Robert A Clary, D.O. P C
-
Michael Henson, M.D.
-
Stephen G Milheim, M.D.
-
Valerie Stine, MD
-
Tammy Lynn Ballant, ARNP
-
Gregory D Basye, P.A.-C.
-
Chadwick Garner, M.D.
-
Jared Heath Heimbigner, D.O.
-
Kara Heuvelhorst, D.O.
-
Jason Hibbard, M.D.
-
Erik Andrew Jacobson, M.D.
-
James McKee, M.D.
-
Patrick Michael Alduenda, PA-C
-
Paul Richard Bradbury, PA-S
-
Thomas A. Dehoop, M.D.
-
William Benedetto, M.D.
-
Henry Tucker Clay Jr., M.D.
Affiliated clinicians 64
-
Patrick Michael Alduenda, PA-C
-
Zane Bendig, NP
-
William Benedetto, M.D.
-
Andrew Blackman, MD
-
Timothy R Blair Sr., APRN
-
Paul Richard Bradbury, PA-S
-
Lura A Brown, PA-C
-
Alexander Mikhail Bules, D.O.
-
Jace Bullard, MD
-
Robert A Clary, D.O. P C
-
Henry Tucker Clay Jr., M.D.
-
Michael A Dube, M.D.
-
Amanda Marie Engman, FNP
-
Heidi L Fritz, FNP
-
Todd E Gianarelli, M.D.
-
Jodi L Habets, NP-C
-
James E Harkness, D.O.
-
Aaron Michael Hasenkrug, M.D.
Medicare Care Compare: Hospital
- Listed as
- Logan Health - Shelby
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 27D0652515 | Logan Health Shelby | Accreditation | Mar 3, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in MT
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
- Corporation · Non-profit
- Incorporated
- May 9, 2021 in MT
- Enrollment address
- 640 Park Ave
Shelby, MT 59474-1663
Hospital certification: CCN 27Z328
- Legal name
- LOGAN HEALTH - SHELBY
- Organization structure
- Corporation · Non-profit
- Incorporated
- May 9, 2021 in MT
- Enrollment address
- 640 Park Ave
Shelby, MT 59474-1663
All disclosed owners & managing parties 23
| Name | Role | Since | Share |
|---|---|---|---|
| Kevin Abel |
Corporate Officer | May 15, 2024 | |
| Corporate Director | May 15, 2024 | ||
| Mary a Harwood |
Corporate Director | May 9, 2021 | |
| Anna Robbins |
W-2 Managing Employee | Jul 12, 2023 | |
| Operational/Managerial Control | Jul 12, 2023 | ||
| Justin Ott |
Corporate Officer | Aug 28, 2024 | |
| Shannon McAllister |
Corporate Director | Jul 1, 2023 | |
| Jade M Goroski |
Corporate Director | May 9, 2021 | |
| Heidi M Duncan |
Corporate Director | Sep 1, 2023 | |
| Melissa Lundbeck Kaptanian |
Corporate Director | Aug 8, 2024 | |
| Corporate Director | Aug 28, 2024 | ||
| Ellen Layton |
Corporate Officer | Aug 28, 2024 | |
| Brigid B Burke |
Corporate Officer | May 15, 2024 | |
| Mtwy Health |
5% Or Greater Direct Ownership Interest | May 9, 2021 | 100% |
| Operational/Managerial Control | May 9, 2021 | 100% | |
| Jane Karas |
Corporate Director | Sep 1, 2023 | |
| Marigail Anderson |
Corporate Director | Mar 1, 2025 | |
| Clinton W Seger |
Corporate Officer | Sep 1, 2023 | |
| Corporate Director | Sep 1, 2023 | ||
| Alice Gordon |
Corporate Director | Sep 1, 2023 | |
| Billiette M Coolidge |
Corporate Director | May 9, 2021 | |
| Patti L Pilgrim |
Corporate Officer | Jan 6, 2025 | |
| Craig Bartholomew |
Corporate Director | Sep 1, 2023 | |
| Vicki Lee Newmiller |
Corporate Officer | Apr 1, 2022 | |
| W-2 Managing Employee | Apr 1, 2022 | ||
| William D Gibson |
Corporate Officer | May 9, 2021 | |
| Michael L Goguen |
Corporate Director | Sep 1, 2023 | |
| Michelle Harris |
Corporate Director | Sep 1, 2023 | |
| Keith Cook |
Corporate Director | Sep 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | |||
| Critical Access Hospital | 282NC0060X | 9688 | MT | Yes |
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100031270 | Medicaid | MT |
Other names
- Marias Medical Center
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | krmcmedicalrecords@krhdirect.org | Logan Health - Shelby |
Other providers in Shelby, MT
- Charlene Yvette Johnson
- Alexander Kastner
- Robin Lynn Laine
- Larry J. Bonderud, OD
- Rachael Lehr
- Logan Health - Shelby
- Logan Health Assisted Living - Shelby
- Logan Health Care Center - Shelby
- Scott Allen Luly
- Conley Lynch
All providers in Shelby, MT · Critical Access Hospital in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.