419 MEDICAL SQUADRON
NPI 1689691230
Rehabilitation, Substance Use Disorder Unit in Hill Afb, UT

Active since July 17, 2006
7311 11TH ST, HILL AFB, UT 84056(801) 777-2622 Get Directions Write a Review

NPPES record last updated: June 13, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About 419 Medical Squadron NPPES

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

419 MEDICAL SQUADRON (NPI 1689691230) is a healthcare organization registered as a rehabilitation, substance use disorder unit in Hill Afb, Utah and active in the NPI registry since July 2006. The organization lists Robert Atisme, Mental Health Therapist, as its authorized official.

NPPES Registry Identity

NPI1689691230
Entity TypeOrganization
Primary Taxonomy276400000X
Legal Business Name419 MEDICAL SQUADRON
Location Address7311 11TH STHill Afb, UT 84056-5012
Mailing Address3626 W 2000 NWest Point, UT 84015-7300 · (801) 776-8767
Organization SubpartNo
Authorized OfficialRobert AtismeMental Health Therapist · (801) 777-2622
Enumeration DateJuly 17, 2006
Last NPPES UpdateJune 13, 2008
NPI 1689691230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRehabilitation, Substance Use Disorder UnitHospital Units
Taxonomy Code276400000X
License Licensed in IA · 06477
Definition

A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)

7311 11TH ST, Hill Afb, UT 84056

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 419 Medical Squadron's NPI number?

The NPI number for 419 Medical Squadron is 1689691230. It was assigned to this organization in the NPPES registry on July 17, 2006.

Where is 419 Medical Squadron located?

419 Medical Squadron is located at 7311 11th St, Hill Afb, UT 84056. The listed phone number is (801) 777-2622.

What is 419 Medical Squadron's specialty?

The primary specialty registered for this NPI is Rehabilitation, Substance Use Disorder Unit with taxonomy code 276400000X.

When was this NPI record last updated?

The NPPES record for 419 Medical Squadron was last updated on June 13, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.