| Logan Health Rural Health Clinic- Chester | |
|
418 West Monroe Avenue Chester MT 59522-0506 | |
| (406) 759-5194 | |
| Not Available |
| Full Name | Logan Health Rural Health Clinic- Chester |
|---|---|
| Speciality | Clinic/Center |
| Location | 418 West Monroe Avenue, Chester, Montana |
| Authorized Official Name and Position | Cherie Taylor (PRESIDENT) |
| Authorized Official Contact | 4068733736 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Health Rural Health Clinic- Chester Po Box 705 Chester MT 59522-0705 Ph: (406) 759-5194 | Logan Health Rural Health Clinic- Chester 418 West Monroe Avenue Chester MT 59522-0506 Ph: (406) 759-5194 |
| NPI Number | 1003984097 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 04/30/2025 |
| Certification Date | 04/30/2025 |
| Medicare PECOS PAC ID | 0042128480 |
|---|---|
| Medicare Enrollment ID | O20040115000815 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003984097 | NPI | - | NPPES |
| 0720273 | Medicaid | MT | |
| 100001242 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
| Provider Name | David E Mangold |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164533618 PECOS PAC ID: 8325940299 Enrollment ID: I20040123000602 |
| Provider Name | Edward P Stein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063465938 PECOS PAC ID: 5799688396 Enrollment ID: I20040130000517 |
| Provider Name | Dennis L Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205986460 PECOS PAC ID: 4789575945 Enrollment ID: I20040324001493 |
| Provider Name | Bruce F Gray |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619038601 PECOS PAC ID: 7416849179 Enrollment ID: I20040326001107 |
| Provider Name | Michael Henson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306907308 PECOS PAC ID: 0840261848 Enrollment ID: I20040803001569 |
| Provider Name | Carley C Robertson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649232448 PECOS PAC ID: 0749259380 Enrollment ID: I20040929001216 |
| Provider Name | Jay D Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376532309 PECOS PAC ID: 4587654538 Enrollment ID: I20051110000556 |
| Provider Name | Scott P Seager |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174689640 PECOS PAC ID: 4486756459 Enrollment ID: I20070221000464 |
| Provider Name | Karyn M Thornton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831290683 PECOS PAC ID: 1153426135 Enrollment ID: I20070419000543 |
| Provider Name | Michelle M Bailey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447376991 PECOS PAC ID: 2769587476 Enrollment ID: I20070424000652 |
| Provider Name | David J Arends |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265614630 PECOS PAC ID: 6305921347 Enrollment ID: I20080314000237 |
| Provider Name | Lisa a Kincannon-ziegler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366612327 PECOS PAC ID: 7810942513 Enrollment ID: I20090122000700 |
| Provider Name | Stephen G Milheim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962565432 PECOS PAC ID: 7416925961 Enrollment ID: I20090130000234 |
| Provider Name | Frank Clifford Towsley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447403886 PECOS PAC ID: 2163587304 Enrollment ID: I20090223000183 |
| Provider Name | Nicholas Cade Cantrell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114185303 PECOS PAC ID: 2567536899 Enrollment ID: I20090828000259 |
| Provider Name | Robert G Mitchell |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1750399564 PECOS PAC ID: 3173523768 Enrollment ID: I20090904000569 |
| Provider Name | Dean a Chapel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215981725 PECOS PAC ID: 4789608670 Enrollment ID: I20091023000032 |
| Provider Name | Linda L Dupree |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073516167 PECOS PAC ID: 8022015619 Enrollment ID: I20091119000641 |
| Provider Name | Anders G Engdahl |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841369295 PECOS PAC ID: 4385532407 Enrollment ID: I20100422001095 |
| Provider Name | William R Benedetto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750452983 PECOS PAC ID: 6204867807 Enrollment ID: I20100429000659 |
| Provider Name | Amy M Ramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336417005 PECOS PAC ID: 8820255821 Enrollment ID: I20120202000453 |
| Provider Name | Michelle Lynn Boltz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194843870 PECOS PAC ID: 3274684451 Enrollment ID: I20120803000715 |
| Provider Name | Blaine G White |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568718179 PECOS PAC ID: 1658520770 Enrollment ID: I20121005000179 |
| Provider Name | Joseph T Krezowski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811149818 PECOS PAC ID: 6709910698 Enrollment ID: I20140725002125 |
| Provider Name | Andrew Joseph Ferdinand |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801026737 PECOS PAC ID: 8325276108 Enrollment ID: I20150725012727 |
| Provider Name | Alexis Harrison |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861646382 PECOS PAC ID: 8123250875 Enrollment ID: I20150813011155 |
| Provider Name | Darren J Young |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548433170 PECOS PAC ID: 9436466703 Enrollment ID: I20150918000915 |
| Provider Name | Mark Roman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588692602 PECOS PAC ID: 6305866054 Enrollment ID: I20151008002146 |
| Provider Name | Martha L Winje |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013007822 PECOS PAC ID: 1658318761 Enrollment ID: I20151026002334 |
| Provider Name | Kelly T Kieper |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083888390 PECOS PAC ID: 7618101015 Enrollment ID: I20151119001203 |
| Provider Name | Nathaniel L Hall |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063695948 PECOS PAC ID: 5092958561 Enrollment ID: I20160620002304 |
| Provider Name | Jared H Heimbigner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063405777 PECOS PAC ID: 5092723809 Enrollment ID: I20160714000921 |
| Provider Name | Timothy R Blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891101689 PECOS PAC ID: 8628396678 Enrollment ID: I20161118002020 |
| Provider Name | Henry T Clay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245344563 PECOS PAC ID: 7315913571 Enrollment ID: I20171023002829 |
| Provider Name | Ashly a Parker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942719216 PECOS PAC ID: 9032477740 Enrollment ID: I20171228002366 |
| Provider Name | Bobby Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770991804 PECOS PAC ID: 5092936716 Enrollment ID: I20180116001788 |
| Provider Name | Paul Richard Bradbury |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902319635 PECOS PAC ID: 8022379411 Enrollment ID: I20180227002241 |
| Provider Name | Amanda Marie Engman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912568692 PECOS PAC ID: 6608103452 Enrollment ID: I20190816000720 |
| Provider Name | James M Mckee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669444733 PECOS PAC ID: 7810228509 Enrollment ID: I20191010001478 |
| Provider Name | Valerie E K Stine |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639514003 PECOS PAC ID: 0840591053 Enrollment ID: I20191105000121 |
| Provider Name | Jeffrey B Chandler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891737649 PECOS PAC ID: 0749209278 Enrollment ID: I20200205002575 |
| Provider Name | Christopher J Molloy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639426935 PECOS PAC ID: 2860785417 Enrollment ID: I20200831000580 |
| Provider Name | Emily L Hanson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205255494 PECOS PAC ID: 6709004252 Enrollment ID: I20200915000473 |
| Provider Name | Chadwick Garner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609281807 PECOS PAC ID: 8224397807 Enrollment ID: I20200915001431 |
| Provider Name | Chelsea Dunshee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295346823 PECOS PAC ID: 5294154514 Enrollment ID: I20201006000388 |
| Provider Name | Christopher J Sharpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356702203 PECOS PAC ID: 1153613112 Enrollment ID: I20201204002416 |
| Provider Name | Mark Barnett Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740623818 PECOS PAC ID: 6305149766 Enrollment ID: I20210122000518 |
| Provider Name | Scott a Alexander |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033236963 PECOS PAC ID: 8921104217 Enrollment ID: I20210224001933 |
| Provider Name | Joshua H Duchesne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154749992 PECOS PAC ID: 7012136823 Enrollment ID: I20210915003391 |
| Provider Name | Michael Cathey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952371023 PECOS PAC ID: 2163662586 Enrollment ID: I20220916003347 |
| Provider Name | Linda Boylan-starks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447238548 PECOS PAC ID: 9234151804 Enrollment ID: I20220923002621 |
| Provider Name | Kara Heuvelhorst |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932558962 PECOS PAC ID: 3476813346 Enrollment ID: I20221207002714 |
| Provider Name | Andrew J Ziegert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770526980 PECOS PAC ID: 1355441411 Enrollment ID: I20230113001285 |
| Provider Name | Kenneth Lindsey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649454257 PECOS PAC ID: 1355337999 Enrollment ID: I20230413001870 |
| Provider Name | Rich R Stowe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568711398 PECOS PAC ID: 3274787395 Enrollment ID: I20230510001052 |
| Provider Name | Erik Jacobson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114389897 PECOS PAC ID: 2769727536 Enrollment ID: I20230703002836 |
| Provider Name | Jason Hibbard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235491846 PECOS PAC ID: 1355700386 Enrollment ID: I20230707003166 |
| Provider Name | Ashley Kimmet |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386239069 PECOS PAC ID: 6103260898 Enrollment ID: I20240221002616 |
| Provider Name | Darcy Zanto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467100164 PECOS PAC ID: 4486041860 Enrollment ID: I20240530001131 |
| Provider Name | Katie Kelleher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659087773 PECOS PAC ID: 4880125962 Enrollment ID: I20240930003116 |
| Provider Name | Robert Booth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548377518 PECOS PAC ID: 9436182821 Enrollment ID: I20250214003329 |
| Provider Name | Lance Flesch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134689334 PECOS PAC ID: 1052648565 Enrollment ID: I20250515003110 |
| Provider Name | Avery Jade Cox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831821016 PECOS PAC ID: 2466833579 Enrollment ID: I20250731003159 |
| Provider Name | Mary Moody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891193744 PECOS PAC ID: 7719285428 Enrollment ID: I20260427001414 |