MEDICARE: 341 MEDICAL GROUP MAFB AFB, MT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	286500000X	Military Hospital	I-3035	NM

General Provider Information

NPI Number	:	1982610770
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	341 MEDICAL GROUP MAFB AFB, MT

Provider Business Mailing Address
First Line	:	1709 FOX FARM ROAD
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59404
Country	:	US
Telephone Number	:	406-731-3219
Fax Number	:

Provider Business Practice Location Address
First Line	:	1709 FOX FARM RD
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59404-3323
Country	:	US
Telephone Number	:	406-731-3219
Fax Number	:

Authorized Official
Title or Position	:	FAMILY ADVOCACY OFFICER
Name	:	ANTHONY CHRISTOPHER WILSON
Credential	:
Telephone Number	:	406-731-3219

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	06/13/2008

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1356450449 — DR. ROGER S. BRUNT M.D.
Practice Location Address:

2340 VIRLOW ST
IDAHO FALLS, ID
83401-3323

Practice Phone: 208-523-2340
Practice Fax:

1205991809 — NIMISHA V PATEL DDS
Practice Location Address:

105 N VIRGINIA AVE STE 103
FALLS CHURCH, VA
22046-3323

Practice Phone: 703-533-1993
Practice Fax:

1144553389 — MS. JORJA DEANN CALICO M.ED.
Practice Location Address:

3323 FALLS CREEK DR
NASHVILLE, TN
37214-3416

Practice Phone: 615-391-5178
Practice Fax: 615-391-5178

1427309483 — ERICA MAIER
Practice Location Address:

3323 SAINT JAMES PL
FALLS CHURCH, VA
22042-3717

Practice Phone: 703-298-2030
Practice Fax:

1073991170 — TRUE NORTH CHIROPRACTIC CENTER
Practice Location Address:

1238 EDGEWOOD DR APT 6
THIEF RIVER FALLS, MN
56701-3323

Practice Phone: 701-739-2968
Practice Fax:

Directions to “341 MEDICAL GROUP MAFB AFB, MT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.