OrganizationActive
366th Medgrp-Mountain Home
NPI 1144636515 · Military/U.S. Coast Guard Pharmacy · Mountain Home Afb, ID
Provider details
- NPI number
- 1144636515
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard PharmacySuppliers
- Parent organization
- 366th Medgrp-Mountain Home
- Authorized official
- Hector Morales, Chief Dha Pass
Practice location
90 Hope Dr Bldg 6000
Mountain Home Afb, ID 83648-1062
Phone: (208) 828-7521
Fax: (208) 828-7676
Mailing address
366 Medical Group Sgsbf
Mtn Home Afb, ID 83648-1062
Registry dates
- Enumerated
- 2014-07-07
- Last updated
- 2025-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.