419 Medical Squadron

LBN: 419 Medical Squadron
419 Medical Squadron is an health care organization with primary practice located at 7311 11Th St , Hill Afb UT 84056-5012. The organization recently has only one registered license in Hospital Units / Rehabilitation, Substance Use Disorder Unit, which is considered as the primary health care specialty. 419 Medical Squadron can be contacted via phone (801) 777-2622, or through Atisme, Robert via phone (801) 777-2622.

Contact Information

Primary practice address
7311 11Th St Hill Afb UT 84056-5012
Phone: (801) 777-2622
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Atisme, Robert LISW, CSW
Phone: (801) 777-2622

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Rehabilitation, Substance Use Disorder Unit 276400000X 06477 Iowa

Profile Details

NPI number 1689691230
LBN Legal business name 419 Medical Squadron
DBA Doing business as
Authorized official Atisme, Robert LISW, CSW
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2006
Last updated Jun 13th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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