MEREDITH ROSE GRANHOLM IDMT
NPI 1750515342
Military Health Care Provider - Independent Duty Medical Technicians in Fairchild Afb, WA

Active since May 11, 2009
701 HOSPITAL LOOP, 92 AMDS/SGPE, FAIRCHILD AFB, WA 99011(509) 247-5755(507) 247-8833 Get Directions Write a Review

NPPES record last updated: May 11, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Meredith Rose Granholm Idmt NPPES

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

MEREDITH ROSE GRANHOLM IDMT (NPI 1750515342) is an individual independent duty medical technicians provider in Fairchild Afb, Washington and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1750515342
Entity TypeIndividualFemale
Primary Taxonomy1710I1003X
Provider Legal NameMEREDITH ROSE GRANHOLMCredential: IDMT
Location Address701 HOSPITAL LOOP, 92 AMDS/SGPEFairchild Afb, WA 99011-8704
Mailing Address701 Hospital Loop, 92 Amds/sgpeFairchild Afb, WA 99011-8704 · (509) 247-5755 · Fax (507) 247-8833
Fax(507) 247-8833
Sole ProprietorNo
Enumeration DateMay 11, 2009
NPI 1750515342 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 Meredith Granholm's NPI number?

The NPI number for Meredith Granholm is 1750515342. It was assigned to this individual provider in the NPPES registry on May 11, 2009.

Where is Meredith Granholm located?

Meredith Granholm practices at 701 Hospital Loop 92 Amds/Sgpe, Fairchild Afb, WA 99011. The listed phone number is (509) 247-5755.

What is Meredith Granholm'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 Meredith Granholm was last updated on May 11, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.