OrganizationActive
419 Medical Squadron
NPI 1689691230 · Substance Use Disorder Rehabilitation Hospital Unit · Hill Afb, UT
Provider details
- NPI number
- 1689691230
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Hospital UnitHospital Units
- Authorized official
- Robert Atisme, Mental Health Therapist
- License
- 06477 (IA)
Mailing address
3626 W 2000 N
West Point, UT 84015-7300
Registry dates
- Enumerated
- 2006-07-17
- Last updated
- 2008-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.