| Logan Health Imaging | |
|
310 Sunnyview Ln Kalispell MT 59901-3129 | |
| (406) 751-7519 | |
| (406) 751-7529 |
| Full Name | Logan Health Imaging |
|---|---|
| Speciality | Clinic/Center |
| Location | 310 Sunnyview Ln, Kalispell, Montana |
| Authorized Official Name and Position | William David Gibson (GENERAL COUNSEL) |
| Authorized Official Contact | 4067521724 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Health Imaging 310 Sunnyview Ln Kalispell MT 59901-3129 Ph: (406) 751-7519 | Logan Health Imaging 310 Sunnyview Ln Kalispell MT 59901-3129 Ph: (406) 751-7519 |
| NPI Number | 1093477176 |
|---|---|
| Provider Enumeration Date | 10/06/2021 |
| Last Update Date | 02/07/2023 |
| Medicare PECOS PAC ID | 5294644381 |
|---|---|
| Medicare Enrollment ID | O20220504002953 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093477176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QR0200X | Clinic/center - Radiology | (* (Not Available)) | Secondary |
| Provider Name | William R Benedetto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750452983 PECOS PAC ID: 6204867807 Enrollment ID: I20210811003081 |
Logan Health Children's Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1273 Burns Way, Kalispell, MT 59901 Phone: 406-752-8300 Fax: 406-752-3542 | |
Premise Health Of Montana Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 340 W Center St, Kalispell, MT 59901 Phone: 406-751-9300 Fax: 601-500-5708 | |
Ryan Chiropractic Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 690 N Meridian Rd, Ste 108, Kalispell, MT 59901 Phone: 406-755-6030 | |
Glacier Neuroscience & Spine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Commons Way, Kalispell, MT 59901 Phone: 406-752-5095 Fax: 406-752-5098 | |
Logan Health Wound Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Sunnyview Ln Ste 105, Kalispell, MT 59901 Phone: 406-756-4727 Fax: 406-751-7570 | |
Kalispell Regional Medical Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1273 Burns Way, Kalispell, MT 59901 Phone: 406-752-8300 Fax: 406-752-3542 |