366 Medical Group

Military and U.S. Coast Guard Ambulatory Procedure


  
  90 Hope Drive Bldg 6000, 366 Medical Group, Mountain Home Afb
Idaho, 83648-1062

 208-828-7470    208-828-2753
366 Medical Group is a Military and U.S. Coast Guard Ambulatory Procedure in Mountain Home Afb, Idaho. It is located at 90 Hope Drive Bldg 6000, 366 Medical Group, Mountain Home Afb and it's customer support contact number is 208-828-7470. The authorized person of 366 Medical Group is Steven R Ward, M.D. who is Commander of the pharmacy and his contact number is 208-828-7600.
366 Medical Group is that part of a “fixed” (non-temporary, non-deployed) DoD or Coast Guard entity furnishing surgical procedures requiring medically supervised recovery. Similar to a civilian ambulatory surgical center. May be in shared resources with a DoD or Coast Guard Clinic or a DoD Hospital. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial “take home” pharmaceuticals.


Pharmacy Details:
366 Medical Group type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name: 366 Medical Group
Type: Military and U.S. Coast Guard Ambulatory Procedure
Location:90 Hope Drive Bldg 6000, 366 Medical Group, Mountain Home Afb,
Idaho, 83648-1062
Phone:208-828-7470
Fax:208-828-2753
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name: Steven R Ward
Credentials: M.D.
Position: Commander
Contact Number: 208-828-7600
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number: 1063487791
NPI Enumeration Date: 17 Feb, 2006
NPI Last Update On: 08 Nov, 2017

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for 366 Medical Group are as mentioned below.
SpecializationLicense NumberStateStatus
Military and U.S. Coast Guard Ambulatory Procedure Primary
Military/U.S. Coast Guard Outpatient Secondary
Military/u.s. Coast Guard Pharmacy Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
1306845OtherIdahoNcpdp
8072078MedicaidIdaho
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 90 Hope Drive Bldg 6000, 366 Medical Group Sgsr
Mountain Home Afb, Idaho
Zip: 83648-1062
Phone Number: 208-828-7470
Fax Number: 208-828-2753
Patients can reach 366 Medical Group at 90 Hope Drive Bldg 6000, 366 Medical Group, Mountain Home Afb, Idaho or can call on customer care at 208-828-7470.

Comments/ Reviews:


*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.

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