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375TH MEDGRP-SCOTT
NPI 1861478448
Military Hospital in Scott Afb, IL

Active since December 15, 2005
310 W LOSEY ST, SCOTT AFB, IL 62225(618) 256-6267(618) 256-7931 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 29, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About 375th Medgrp-scott NPPES

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

375TH MEDGRP-SCOTT (NPI 1861478448) is a healthcare organization registered as a military hospital in Scott Afb, Illinois and active in the NPI registry since December 2005. The organization lists Bruce Jay Gardner, Resident Physician, as its authorized official.

NPPES Registry Identity

NPI1861478448
Entity TypeOrganization
Primary Taxonomy286500000X
Legal Business Name375TH MEDGRP-SCOTT
Location Address310 W LOSEY STScott Afb, IL 62225-5250
Mailing Address310 W Losey StScott Afb, IL 62225-5250 · (618) 256-6267 · Fax (618) 256-7931
Phone(618) 256-6267
Fax(618) 256-7931
Organization SubpartYes
Authorized OfficialBruce Jay GardnerResident Physician · (618) 256-6267
Enumeration DateDecember 15, 2005
Last NPPES UpdateMay 29, 20252 updates tracked since enumeration
NPPES CertifiedMay 29, 2025
✔ NPI 1861478448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary HospitalHospitals
Taxonomy Code286500000X
Definition
A health care facility operated by the Department of Defense.
310 W LOSEY ST, Scott Afb, IL 62225
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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.

DR. TODD ALAN SCHULTZ D.M.D.
Dentist (Oral and Maxillofacial Surgery)
310 W LOSEY ST
SCOTT AFB, IL 62225
St. Clair County (618) 256-7079
DAWN WILSON PT
Physical Therapist
310 W LOSEY ST
SCOTT AFB, IL 62225
St. Clair County (618) 256-6267
MR. SEAN J MCNAMARA RPH.
Pharmacist
310 W LOSEY ST
SCOTT AFB, IL 62225
St. Clair County (618) 256-6150
DR. PATSY FRANCES KREMSREITER MD
Family Medicine
310 W LOSEY ST
SCOTT AFB, IL 62225
St. Clair County (618) 256-9355
JOAN FOMBOH TELAZIE-SIMONS RN
Registered Nurse
310 W LOSEY ST
SCOTT AIR FORCE BASE, IL 62225
St. Clair County (618) 256-9355
DR. SARAH KATHERINE TURBUSH DDS
Dentist (Prosthodontics)
310 W LOSEY ST
SCOTT AFB, IL 62225
St. Clair County (618) 256-6667
DR. CASEY TIMMERMAN DO
Obstetrics & Gynecology
310 W LOSEY ST
SCOTT AFB, IL 62225
St. Clair County (618) 256-7669
CHRISTINE LEIGH KMIECIK
Social Worker (Clinical)
310 W LOSEY ST
SCOTT AIR FORCE BASE, IL 62225
St. Clair County (618) 256-9355

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 375th Medgrp-Scott's NPI number?

The NPI number for 375th Medgrp-Scott is 1861478448. It was assigned to this organization in the NPPES registry on December 15, 2005.

Where is 375th Medgrp-Scott located?

375th Medgrp-Scott is located at 310 W Losey St, Scott Afb, IL 62225. The listed phone number is (618) 256-6267.

What is 375th Medgrp-Scott's specialty?

The primary specialty registered for this NPI is Military Hospital with taxonomy code 286500000X.

When was this NPI record last updated?

The NPPES record for 375th Medgrp-Scott was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.