419 MEDICAL SQUADRON – Substance Use Disorder Rehabilitation Hospital Unit, NPI 1689691230

419 MEDICAL SQUADRON is a healthcare provider. based in Hill afb, Utah. specializing in Substance Use Disorder Rehabilitation Hospital Unit. The organization holds a License No. 06477 (IA). The NPI Number for 419 MEDICAL SQUADRON is 1689691230

Main info

Organization
Name
419 MEDICAL SQUADRON
NPI
1689691230
Phone
(801) 777-2622
Address
7311 11TH ST
Authorized Official
MR. ROBERT ATISME MENTAL HEALTH THERAPIST LISW, CSW
Enumeration Date
17 July 2006
Last Update Date
13 June 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for 419 MEDICAL SQUADRON

  • 7311 11TH ST

    HILL AFB, UT 840565012

    Phone: (801) 777-2622

    Type: Location

  • 3626, West 2000 North, West Point, Davis County, Utah, 84015, United States

    WEST POINT, UT 840157300

    Phone: (801) 776-8767

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84056)

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Frequently asked questions

Where can patients find 419 MEDICAL SQUADRON's NPI?
You can confirm 419 MEDICAL SQUADRON with NPI 1689691230; it appears in the national provider directory.
Is 419 MEDICAL SQUADRON active in the national directory?
419 MEDICAL SQUADRON's public NPI profile is in an active state.
What kind of provider is 419 MEDICAL SQUADRON?
The page reflects Substance Use Disorder Rehabilitation Hospital Unit for 419 MEDICAL SQUADRON. Clinical services aligned with this taxonomy classification.
Where is 419 MEDICAL SQUADRON's primary listing?
We display Hill Afb, Utah because that is what the record indicates for 419 MEDICAL SQUADRON.
What if Hill Afb, Utah seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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