419 Medical Squadron
NPI 1689691230 · Substance Use Disorder Rehabilitation Hospital Unit · Hill Afb, UT
419 Medical Squadron is a Substance Use Disorder Rehabilitation Hospital Unit organization in Hill Afb, UT (NPI 1689691230).
Provider details
- NPI number
- 1689691230
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Hospital UnitHospital Units
- Organization subpart
- No
- Authorized official
- Robert Atisme, Mental Health Therapist(801) 777-2622
- License
- 06477 (IA)
Specialties & taxonomies
Hospital Units
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
- 2006-07-17
- Last updated
- 2008-06-13
Frequently asked questions
- What is 419 Medical Squadron's NPI number?
- 419 Medical Squadron's National Provider Identifier (NPI) is 1689691230, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 419 Medical Squadron?
- 419 Medical Squadron is classified in the NPPES registry as Substance Use Disorder Rehabilitation Hospital Unit (Hospital Units).
- Where is 419 Medical Squadron located?
- 419 Medical Squadron's practice location on file with NPPES is 7311 11th St, Hill Afb, UT 84056-5012.
- What is 419 Medical Squadron's phone number?
- The practice phone number listed in the NPPES registry for 419 Medical Squadron is (801) 777-2622.
- Who is the authorized official for 419 Medical Squadron?
- The authorized official listed on 419 Medical Squadron's NPPES record is Robert Atisme, Mental Health Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 419 Medical Squadron's NPI active?
- Yes — 419 Medical Squadron's NPI (1689691230) is active in the NPPES registry as of the last update on 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.