Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
366TH MEDGRP-MOUNTAIN HOME
Active OrganizationMilitary and U.S. Coast Guard Ambulatory Procedure · MOUNTAIN HOME AFB, ID
Registration Details
- NPI Number
- 1063487791
- Provider Type
- Organization
- NPI Issued
- Feb 17, 2006 (20.175279172582 yrs)
- Last Updated
- Jun 17, 2025
Practice Information
- Address
-
90 HOPE DRIVE BLDG 6000366 MEDICAL GROUPMOUNTAIN HOME AFB, ID, 836481062Browse ID providers · Browse ZIP 83648
- Phone
- 2088287470
- Fax
- 2088282753
- Primary Specialty
-
Military and U.S. Coast Guard Ambulatory Procedure
261QM1101X
- Additional Specialty
- Military/U.S. Coast Guard Pharmacy
- Additional Specialty
- Military and U.S. Coast Guard Ambulatory Procedure
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.