Clinic/Center Military and U.S. Coast Guard Ambulatory Procedure Health Providers - IDAHO

261QM1101X - Clinic/Center Military and U.S. Coast Guard Ambulatory Procedure

That part of a fixed (non-temporary, non-deployed) DoD or Coast Guard entity furnishing surgical procedures requiring medically supervised recovery. Similar to a civilian ambulatory surgical center. May be in shared resources with a DoD or Coast Guard Clinic or a DoD Hospital. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial take home pharmaceuticals.

List of 1 registered providers with a business address in Idaho whose primary or secondary health provider taxonomy code is Clinic/Center Military and U.S. Coast Guard Ambulatory Procedure, all registered as organizations.

100% Organizations
100% Medical Organizations (1)

List of Providers

Provider Name Type Address
366 MEDICAL GROUPOrganization90 HOPE DRIVE BLDG 6000 366 MEDICAL GROUP
MOUNTAIN HOME AFB, ID 83648
(208) 828-7470

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