NPIMap

Organization Active NPI

Logan Health - Conrad

  • Durable Medical Equipment & Medical Supplies
  • Conrad, MT
National Provider Identifier
1962492694
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LOGAN HEALTH - CONRAD
Practice address
805 Sunset Blvd
Conrad, MT 59425-1721
Phone
(406) 271-5566
Fax
(406) 271-5569
NPI assigned
Oct 25, 2005
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
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

805 Sunset Blvd
Conrad, MT 59425-1721

Mailing address

PO Box 758
Conrad, MT 59425-0758
Phone (406) 271-5566

Other identifiers 2

IdentifierTypeStateIssuer
100030972MedicaidMT
000031170OtherMTBCBS

Other names 1

  • Logan Health Medical Equipment - 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
O20100930100698 MT DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & EquipmentDME Supplier - Medical Supply Company With Respiratory Therapist 8921917501 Practice locations: Conrad, MT

Other NPIs with the same Medicare PAC ID 4

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

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Logan Health Medical Equipment - Co805 Sunset Blvd, Conrad, MT 59425-1717(406) 271-5566 Commodes, Urinals, Bedpans|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchair Seating/Cushions|Orthoses: Prefabricated (Non-Custom… Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Pondera Med Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1962492694",
    "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": "406-271-5566",
            "fax_number": "406-271-5569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 SUNSET BLVD",
            "city": "CONRAD",
            "state": "MT",
            "postal_code": "594251721",
            "telephone_number": "406-271-5566",
            "fax_number": "406-271-5569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN HEALTH - CONRAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100030972",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000031170",
            "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": "594251721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Logan Health Medical Equipment - Conrad",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conrad, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.