CHARLES EDWARD HOLTZ JR. IDMT
NPI 1104050657
Military Health Care Provider - Independent Duty Medical Technicians in Grand Forks Afb, ND

Active since May 13, 2009
1599 J ST, GRAND FORKS AFB, ND 58205(701) 747-5504(701) 747-5923 Get Directions Write a Review

NPPES record last updated: May 13, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charles Edward Holtz Jr. Idmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES EDWARD HOLTZ JR. IDMT (NPI 1104050657) is an individual independent duty medical technicians provider in Grand Forks Afb, North Dakota and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1104050657
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameCHARLES EDWARD HOLTZ JR.Credential: IDMT
Location Address1599 J STGrand Forks Afb, ND 58205-6306
Mailing Address2026 Spruce Dr, Unit AGrand Forks, ND 58204-1864 · (701) 747-5504 · Fax (701) 747-5923
Fax(701) 747-5923
Sole ProprietorNo
Enumeration DateMay 13, 2009
NPI 1104050657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition

An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.

1599 J ST, Grand Forks Afb, ND 58205

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
1599 J ST, 319 MDOS/SGOH
GRAND FORKS AFB, ND 58205
Military/U.S. Coast Guard Pharmacy
1599 J ST
GRAND FORKS AFB, ND 58205
Family Medicine
1599 J ST
GRAND FORKS AFB, ND 58205
Pharmacist
1599 J ST
GRAND FORKS AFB, ND 58205
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1599 J ST
GRAND FORKS AFB, ND 58205
Military Health Care Provider (Independent Duty Medical Technicians)
1599 J ST
GRAND FORKS AFB, ND 58205
Psychologist (Counseling)
1599 J ST
GRAND FORKS AFB, ND 58205
Social Worker (Clinical)
1599 J ST
GRAND FORKS AFB, ND 58205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Holtz's NPI number?

The NPI number for Charles Holtz is 1104050657. It was assigned to this individual provider in the NPPES registry on May 13, 2009.

Where is Charles Holtz located?

Charles Holtz practices at 1599 J St, Grand Forks Afb, ND 58205. The listed phone number is (701) 747-5504.

What is Charles Holtz's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Charles Holtz was last updated on May 13, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.