TYREE WOLF IDMT
NPI 1861800096
Military Health Care Provider - Independent Duty Medical Technicians in Mountain Home Afb, ID

Active since July 31, 2014
90 HOPE DR BLDG 6000, MOUNTAIN HOME AFB, ID 83648(210) 828-7401 Get Directions Write a Review

NPPES record last updated: July 31, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tyree Wolf Idmt NPPES

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

TYREE WOLF IDMT (NPI 1861800096) is an individual independent duty medical technicians provider in Mountain Home Afb, Idaho and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1861800096
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameTYREE WOLFCredential: IDMT
Location Address90 HOPE DR BLDG 6000Mountain Home Afb, ID 83648-1062
Mailing Address90 Hope Dr Bldg 6000Mountain Home Afb, ID 83648-1062 · (210) 828-7401
Sole ProprietorNo
Enumeration DateJuly 31, 2014
NPI 1861800096 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.

90 HOPE DR BLDG 6000, Mountain Home Afb, ID 83648

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.

Pharmacist
90 HOPE DR BLDG 6000, 366 MDSS/SGSAP
MOUNTAIN HOME AFB, ID 83648
Dental Hygienist
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Psychologist
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Military Health Care Provider (Independent Duty Medical Technicians)
90 HOPE DR BLDG 6000
MOUNTAIN HOME A F B, ID 83648
Military Health Care Provider (Independent Duty Medical Technicians)
90 HOPE DR BLDG 6000, 366 AMDS/SGPF
MOUNTAIN HOME A F B, ID 83648
Military Health Care Provider (Independent Duty Medical Technicians)
90 HOPE DR BLDG 6000
MOUNTAIN HOME A F B, ID 83648
Military Health Care Provider (Independent Duty Medical Technicians)
90 HOPE DR BLDG 6000
MOUNTAIN HOME A F B, ID 83648
Military Health Care Provider (Independent Duty Medical Technicians)
90 HOPE DR BLDG 6000
MOUNTAIN HOME A F B, ID 83648

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861800096, enumerated as an "individual" on July 31, 2014.

The provider is located at 90 HOPE DR BLDG 6000 MOUNTAIN HOME AFB, ID 83648 and the phone number is (210) 828-7401.

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