366th Medgrp-Mountain Home
Clinic/Center - Military and U.S. Coast Guard Ambulatory Procedure
About 366th Medgrp-Mountain Home
366th Medgrp-Mountain Home is a healthcare organization providing Clinic/Center - Military and U.S. Coast Guard Ambulatory Procedure services, with specialized expertise in Military and U.S. Coast Guard Ambulatory Procedure, registered under National Provider Identifier (NPI) number 1063487791.
The authorized official for 366th Medgrp-Mountain Home is JEN LEWANDOWSKI. The organization is headquartered at 90 HOPE DRIVE BLDG 6000, Mountain Home Afb, Idaho 83648. The main office can be reached at (208) 828-7470.
It is part of 366TH MEDGRP-MOUNTAIN HOME. 366th Medgrp-Mountain Home has been NPI-registered since 2006.
Locations & Contact
Primary Location
- Address
- 90 HOPE DRIVE BLDG 6000
- City
- Mountain Home Afb
- State
- Idaho
- ZIP
- 83648-1062
- Phone
- (208) 828-7470
- Fax
- (208) 828-2753
Authorized Official
- Name
- JEN LEWANDOWSKI
Mailing Address
- Address
- 90 HOPE DRIVE BLDG 6000
- City
- MOUNTAIN HOME AFB
- State
- ID
- ZIP
- 836481062
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Services & Taxonomy
Specialty & Classification
- Primary Specialty
- Clinic/Center - Military and U.S. Coast Guard Ambulatory Procedure
- Classification
- Clinic/Center
- Specialization
- Military and U.S. Coast Guard Ambulatory Procedure
- Taxonomy Code
- 261QM1101X
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
- Group Practice
- 366TH MEDGRP-MOUNTAIN HOME
Frequently Asked Questions
What is 366th Medgrp-Mountain Home's NPI number?
What does 366th Medgrp-Mountain Home specialize in?
Where is 366th Medgrp-Mountain Home located?
Does 366th Medgrp-Mountain Home accept Medicare?
Does 366th Medgrp-Mountain Home offer telehealth or virtual visits?
What is a Type 2 NPI (Organization)?
A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. 366th Medgrp-Mountain Home holds NPI 1063487791, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.