366th Medgrp-Mountain Home
NPI 1063487791 · Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center · Mountain Home Afb, ID
366th Medgrp-Mountain Home is a Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center organization in Mountain Home Afb, ID (NPI 1063487791).
Provider details
- NPI number
- 1063487791
- Entity type
- Organization
- Primary specialty
- Military and U.S. Coast Guard Ambulatory Procedure Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- 366th Medgrp-Mountain Home
- Organization subpart
- Yes
- Authorized official
- Jen Lewandowski, Dha Ubo(703) 817-4030
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Military/U.S. Coast Guard Pharmacy332000000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-02-17
- Last updated
- 2025-06-17
- Certified
- 2025-06-17
Frequently asked questions
- What is 366th Medgrp-Mountain Home's NPI number?
- 366th Medgrp-Mountain Home's National Provider Identifier (NPI) is 1063487791, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 366th Medgrp-Mountain Home?
- 366th Medgrp-Mountain Home is classified in the NPPES registry as Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center (Ambulatory Health Care Facilities).
- Where is 366th Medgrp-Mountain Home located?
- 366th Medgrp-Mountain Home's practice location on file with NPPES is 90 Hope Drive Bldg 6000, Mountain Home Afb, ID 83648-1062.
- What is 366th Medgrp-Mountain Home's phone number?
- The practice phone number listed in the NPPES registry for 366th Medgrp-Mountain Home is (208) 828-7470.
- Who is the authorized official for 366th Medgrp-Mountain Home?
- The authorized official listed on 366th Medgrp-Mountain Home's NPPES record is Jen Lewandowski, Dha Ubo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 366th Medgrp-Mountain Home's NPI active?
- Yes — 366th Medgrp-Mountain Home's NPI (1063487791) is active in the NPPES registry as of the last update on 2025-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.