| Logan Health Rural Health Clinic - Conrad | |
|
809 Sunset Blvd Conrad MT 59425-1799 | |
| (406) 271-3231 | |
| (406) 271-3576 |
| Full Name | Logan Health Rural Health Clinic - Conrad |
|---|---|
| Speciality | Clinic/Center |
| Location | 809 Sunset Blvd, Conrad, Montana |
| Authorized Official Name and Position | Laura Erickson (CNO) |
| Authorized Official Contact | 4062713211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Health Rural Health Clinic - Conrad 805 Sunset Blvd P O Box 758 Conrad MT 59425-1717 Ph: (406) 271-3211 | Logan Health Rural Health Clinic - Conrad 809 Sunset Blvd Conrad MT 59425-1799 Ph: (406) 271-3231 |
| NPI Number | 1669461703 |
|---|---|
| Provider Enumeration Date | 10/20/2005 |
| Last Update Date | 08/02/2021 |
| Medicare PECOS PAC ID | 8921917501 |
|---|---|
| Medicare Enrollment ID | O20210521002150 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669461703 | NPI | - | NPPES |
| 000066442 | Other | MT | BCBS |
| 0720392 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Michelle Lynn Boltz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194843870 PECOS PAC ID: 3274684451 Enrollment ID: I20120803000715 |
Marias Healthcare Services Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 4th Ave Se, Conrad, MT 59425 Phone: 406-434-3100 Fax: 406-434-3143 | |
Pondera Medical Center Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 Sunset Blvd., Conrad, MT 59425 Phone: 406-271-3211 Fax: 406-271-3917 |