1063487791 366 MEDICAL GROUP

Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center

Active

Basic Information

Organization Name
366 MEDICAL GROUP
Enumeration Date
February 17, 2006
Last Update
November 8, 2017
Authorized Official
STEVEN R WARD M.D.
COMMANDER
Phone: (208) 828-7600

Practice Location

Address
90 HOPE DRIVE BLDG 6000
366 MEDICAL GROUP
MOUNTAIN HOME AFB, ID 836481062
Phone
(208) 828-7470
Fax
(208) 828-2753

Mailing Address

Address
90 HOPE DRIVE BLDG 6000
366 MEDICAL GROUP SGSR
MOUNTAIN HOME AFB, ID 836481062
Phone
(208) 828-7470
Fax
(208) 828-2753

Specialties & Taxonomies

Specialty Code Classification License State Primary
Military/U.S. Coast Guard Outpatient Clinic/Center
Military/U.S. Coast Guard Outpatient
261QM1100X Clinic/Center N/A N/A No
Military/U.S. Coast Guard Pharmacy
332000000X Military/U.S. Coast Guard Pharmacy N/A N/A No
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center
Military and U.S. Coast Guard Ambulatory Procedure
261QM1101X Clinic/Center N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
1306845 01 ID NCPDP
8072078 05 ID N/A

Frequently Asked Questions

What is 366 MEDICAL GROUP's NPI number?
366 MEDICAL GROUP's NPI number is 1063487791.
Which doctor has NPI number 1063487791?
The doctor with NPI number 1063487791 is 366 MEDICAL GROUP.
What is 366 MEDICAL GROUP's practice address?
366 MEDICAL GROUP's practice address is 90 HOPE DRIVE BLDG 6000, 366 MEDICAL GROUP, MOUNTAIN HOME AFB, ID, 836481062.
Which doctor practices at 90 HOPE DRIVE BLDG 6000, 366 MEDICAL GROUP, MOUNTAIN HOME AFB, ID, 836481062?
366 MEDICAL GROUP practices at 90 HOPE DRIVE BLDG 6000, 366 MEDICAL GROUP, MOUNTAIN HOME AFB, ID, 836481062.
What is 366 MEDICAL GROUP's phone number?
366 MEDICAL GROUP's phone number is (208) 828-7470.
Who is (208) 828-7470?
(208) 828-7470 is the phone number for 366 MEDICAL GROUP.
What is 366 MEDICAL GROUP's specialty?
366 MEDICAL GROUP's specialty is Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center.
What type of doctor is 366 MEDICAL GROUP?
366 MEDICAL GROUP is a Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center.
Is 366 MEDICAL GROUP a Military and U.S. Coast Guard Ambulatory Procedure?
Yes, 366 MEDICAL GROUP is a Military and U.S. Coast Guard Ambulatory Procedure.
Is 366 MEDICAL GROUP still practicing?
Yes, 366 MEDICAL GROUP is currently practicing.
Is 366 MEDICAL GROUP accepting new patients?
366 MEDICAL GROUP may be accepting new patients. Please call their office at (208) 828-7470 to inquire about availability.
Is NPI 1063487791 still active?
Yes, NPI 1063487791 is currently active.
Where does 366 MEDICAL GROUP practice?
366 MEDICAL GROUP practices in MOUNTAIN HOME AFB, ID.