JODI CLARY IDMT
NPI 1376778407
Military Health Care Provider - Independent Duty Medical Technicians in Holloman Afb, NM

Active since May 19, 2009
280 1ST ST BLDG 15, HOLLOMAN AFB, NM 88330(575) 572-7985 Get Directions Write a Review

NPPES record last updated: May 19, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jodi Clary Idmt NPPES

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

JODI CLARY IDMT (NPI 1376778407) is an individual independent duty medical technicians provider in Holloman Afb, New Mexico and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1376778407
Entity TypeIndividualFemale
Primary Taxonomy1710I1003X
Provider Legal NameJODI CLARYCredential: IDMT
Location Address280 1ST ST BLDG 15Holloman Afb, NM 88330-8273
Mailing Address280 1st St Bldg 15Holloman Afb, NM 88330-8273 · (575) 572-7985
Sole ProprietorNo
Enumeration DateMay 19, 2009
NPI 1376778407 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.

280 1ST ST BLDG 15, Holloman Afb, NM 88330

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Internal Medicine
280 1ST ST BLDG 15, 49 MDG HOLLOMAN AFB
HOLLOMAN AFB, NM 88330
Military/U.S. Coast Guard Pharmacy
280 1ST ST BLDG 15
HOLLOMAN AFB, NM 88330

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376778407, enumerated as an "individual" on May 19, 2009.

The provider is located at 280 1ST ST BLDG 15 HOLLOMAN AFB, NM 88330 and the phone number is (575) 572-7985.

Military Health Care Provider with taxonomy code 1710I1003X and a focus in Independent Duty Medical Technicians.