MR. SAMUEL DAVID FARRIS II IDMT
NPI 1386976041
Military Health Care Provider - Independent Duty Medical Technicians in Fairchild Afb, WA

Active since February 05, 2010
701 HOSPITAL LOOP, FAIRCHILD AFB, WA 99011(509) 247-5755 Get Directions Write a Review

NPPES record last updated: April 26, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Samuel David Farris Ii Idmt NPPES

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

MR. SAMUEL DAVID FARRIS II IDMT (NPI 1386976041) is an individual independent duty medical technicians provider in Fairchild Afb, Washington and active in the NPI registry since February 2010.

NPPES Registry Identity

NPI1386976041
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameMR. SAMUEL DAVID FARRIS IICredential: IDMT
Location Address701 HOSPITAL LOOPFairchild Afb, WA 99011-8704
Mailing Address701 Hospital LoopFairchild Afb, WA 99011-8704 · (509) 247-5755
Sole ProprietorNo
Enumeration DateFebruary 5, 2010
Last NPPES UpdateApril 26, 2010
NPI 1386976041 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.
701 HOSPITAL LOOP, Fairchild Afb, WA 99011

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.

Nurse Practitioner
701 HOSPITAL LOOP
FAIRCHILD AFB, WA 99011
Social Worker (Clinical)
701 HOSPITAL LOOP
FAIRCHILD AFB, WA 99011
Internal Medicine
701 HOSPITAL LOOP
FAIRCHILD AIR FORCE BASE, WA 99011
Physician Assistant
701 HOSPITAL LOOP
FAIRCHILD AFB, WA 99011
Pediatrics
701 HOSPITAL LOOP
FAIRCHILD AFB, WA 99011
Nurse Practitioner (Family)
701 HOSPITAL LOOP
FAIRCHILD AFB, WA 99011
Clinic/Center (Military/U.S. Coast Guard Outpatient)
701 HOSPITAL LOOP
FAIRCHILD AFB, WA 99011
Pediatrics
701 HOSPITAL LOOP
FAIRCHILD AFB, WA 99011

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 Samuel Farris's NPI number?

The NPI number for Samuel Farris is 1386976041. It was assigned to this individual provider in the NPPES registry on February 5, 2010.

Where is Samuel Farris located?

Samuel Farris practices at 701 Hospital Loop, Fairchild Afb, WA 99011. The listed phone number is (509) 247-5755.

What is Samuel Farris'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 Samuel Farris was last updated on April 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.