366TH Medgrp-Mountain Home

Organization Active
NPI 1063487791
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center Mountain Home Afb, ID

366TH Medgrp-Mountain Home holds NPI 1063487791, with a primary taxonomy of military and u.s. coast guard ambulatory procedure clinic/center and a practice location in Mountain Home Afb, ID. The number was issued on February 17, 2006 and the NPPES record was last updated on June 17, 2025. The record lists 3 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center Primary 261QM1101X Not listed
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X Not listed
Military/U.S. Coast Guard Pharmacy 332000000X Not listed

Practice location

90 Hope Drive Bldg 6000
366 Medical Group
Mountain Home Afb, ID 83648-1062
Phone: (208) 828-7470

Local context

Active NPPES records list 1 provider with military and u.s. coast guard ambulatory procedure clinic/center as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 1 in Idaho and 22 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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