NPI Code Detail JSON Logo

1285691329 NPI number — 341ST MEDGRP-MALMSTROM

NPI Number: 1285691329
Health Care Provider/Practitioner: 341ST MEDGRP-MALMSTROM

Information about “1285691329” NPI (341ST MEDGRP-MALMSTROM) exists in 1285691329 in HTML format HTML  |  1285691329 in plain Text format TXT  |  1285691329 in PDF (Portable Document Format) PDF  |  1285691329 in an XML format XML  formats.

NPI Number : 1285691329 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1285691329",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "341ST MEDGRP-MALMSTROM",
    "ParentOrgTIN": null,
    "OrgName": "341ST MEDGRP-MALMSTROM",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7300 N PERIMETER RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MALMSTROM AFB",
    "MailingAddressStateName": "MT",
    "MailingAddressPostalCode": "59402-6701",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "406-731-3863",
    "MailingAddressFaxNumber": "406-731-3369",
    "FirstLinePracticeLocationAddress": "7300 N PERIMETER RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MALMSTROM AFB",
    "PracticeLocationAddressStateName": "MT",
    "PracticeLocationAddressPostalCode": "59402-6701",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "406-731-3863",
    "PracticeLocationAddressFaxNumber": "406-731-3369",
    "EnumerationDate": "05/01/2006",
    "LastUpdateDate": "06/17/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LEWANDOWSKI",
    "AuthorizedOfficialFirstName": "JEN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DHA UBO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "703-817-4030",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QM1101X",
          "TaxonomyName": "Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332000000X",
          "TaxonomyName": "Military/U.S. Coast Guard Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QM1100X",
          "TaxonomyName": "Military/U.S. Coast Guard Outpatient Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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