341ST MEDICAL GROUP (NPI# 1396181533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396181533 |
| Entity Type | Organization |
| Organization Name | 341ST MEDICAL GROUP |
| Other Organization Name | MALSTROM REFILL PHCY |
| Practice Address |
341 Mdg/mdss/sgsa 7300 N Perimeter Rd Bldg 2040 Malstrom Afb MT 59402 |
| Practice Telephone | 4067312468 |
| Mailing Telephone | 4067312468 |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2013-05-16 |
| Authorized Official Name | HECTOR MORALES (DEPUTY DIRECTOR PHCY OPS CTR) |
| Authorized Official Telephone | 2102218443 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2140376 | 01 |
| Other Name | Type Code |
|---|---|
| MALSTROM REFILL PHCY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710392352 | 341st Medical Group | Pharmacy | 7300 N Perimeter Rd, Malmstrom Afb, MT 59402-6701 | 2014-06-23 |
| 1619074465 | 341st Medical Group | Military/U.S. Coast Guard Pharmacy | 7300 N Perimeter Rd, Malmstrom Afb, MT 59402-6701 | 2006-09-20 |
| 1285691329 | 341st Medical Group | Military/U.S. Coast Guard Pharmacy | 7300 N Perimeter Rd, Malmstrom Afb, MT 59402-6701 | 2006-05-01 |
| Street Address |
341 MDG/MDSS/SGSA 7300 N PERIMETER RD BLDG 2040 |
| City | MALSTROM AFB |
| State | MT |
| Zip Code | 59402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194255166 | Jonathan Tankersley | Dentist | 7300 Perimeter Rd, Malmstrom Afb, Mt 59402, Dental Clinic, Apo, AA 59402 | 2017-06-13 |
| 1780061960 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 7200 Perimeter Rd., Bldg 1340, Malmstrom Afb, MT 59402 | 2015-04-27 |
| 1205098258 | Dennis Gordon Vanhook | Social Worker | 7300 N Peirmeter Road, 341st Medical Group, Malmstrom Afb, MT 59402 | 2008-07-01 |
| 1437205119 | Misty Dawn Robertson | Dental Hygienist | 3700 N Perimeter Road, Malmstrom Afb, MT 59402 | 2007-01-26 |
| 1699738278 | Carol F Nelson | Nurse Practitioner | 7300 North Perimeter Rd, Malmstrom Afb, MT 59402 | 2006-04-06 |
| 1558829408 | Tyler C Mcdaniel | Psychologist | 7300 N Perimeter Rd, Great Falls, MT 59402 | 2019-03-11 |
| 1952541716 | Stacey Renee Vierra | Physician Assistant | 7300 North Perimeter Road, 341 Medical Group, Malmstrom Afb, MT 59402 | 2009-03-05 |
| 1306094461 | Jeremy Gustafson | Pharmacist | 7300 North Perimeter Road, Malmstrom Afb, MT 59402 | 2008-09-03 |
| 1356329817 | Timothy Paul Gacioch | Physician Assistant | 4300 Perimeter Rd, (341st Med Group) Bldg 2040, Room S156, Malmstrom Afb, MT 59402-0001 | 2006-01-05 |
| 1104848159 | Malmstrom Air Force Base | Military Hospital | 7300 N Perimeter Rd Bldg 2040, 341 Mdos/sgomhf Malmstrom Afb, Great Falls, MT 59402-6701 | 2006-07-25 |
| Find all providers in zip 59402 | ||||
| Taxonomy Code | 332000000X |
| Grouping | Suppliers |
| Classification | Military/U.S. Coast Guard Pharmacy |
| A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: new; 7/1/2006: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619074465 | 341st Medical Group | Military/U.S. Coast Guard Pharmacy | 7300 N Perimeter Rd, Malmstrom Afb, MT 59402-6701 | 2006-09-20 |
| 1285691329 | 341st Medical Group | Military/U.S. Coast Guard Pharmacy | 7300 N Perimeter Rd, Malmstrom Afb, MT 59402-6701 | 2006-05-01 |
| City | MALSTROM AFB |
| Zip Code | 59402 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.