366TH MEDGRP-MOUNTAIN HOME
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center · MOUNTAIN HOME AFB, ID
Organization Active NPI 1063487791
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center | 261QM1101X | ✓ | — | — |
| Military/U.S. Coast Guard Outpatient Clinic/Center | 261QM1100X | — | — | |
| Military/U.S. Coast Guard Pharmacy | 332000000X | — | — |
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.