Malmstrom Air Force Base
Military Hospital in Great Falls, MT. Organization (NPI-2).
NPI number1104848159
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1104848159
- Entity type
- Organization (NPI-2)
- Legal business name
- Malmstrom Air Force Base
- Organization subpart
- No
- Enumeration date
- Jul 25, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 286500000X | Military Hospital | 39921 | TX | Yes |
Practice location
7300 N Perimeter Rd Bldg 2040341 Mdos/Sgomhf Malmstrom Afb
Great Falls, MT 59402-6701
Phone 406-731-3219
Mailing address
7300 N Perimeter Rd Bldg 2040341 Mdos/Sgomhf Malmstrom Afb
Great Falls, MT 59402-6701
Phone 406-731-3219
Authorized official
Anthony Christopher Wilson
Family Advocacy Officer
4067313219
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