NPI 1144636515
366th Medgrp-Mountain Home
Practice location
- Address
- 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062
- Phone
- (208) 828-7521
- Fax
- (208) 828-7676
- Mailing address
- 366 Medical Group Sgsbf 90 Hope Dr. Bldg. 6000, Mtn Home Afb, ID 83648-1062
Authorised official
- Name
- Hector Morales
- Title
- Chief Dha Pass
- Phone
- (210) 536-6650
Registered specialties (2)
Military/U.S. Coast Guard Pharmacy
Primary
Pharmacy
Registry record
- NPI
- 1144636515
- Entity type
- Organization
- NPI issued
- 7 Jul 2014
- Record last updated
- 13 Jun 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.