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375th Medgrp-Scott — NPI 1861478448, Scott Afb, IL | NPI Central

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NPI 1861478448

OrganizationActive

375th Medgrp-Scott

NPI 1861478448 · Military Hospital · Scott Afb, IL

Provider details

NPI number: 1861478448
Entity type: Organization
Primary specialty: Military HospitalHospitals
Parent organization: 375th Medgrp-Scott
Authorized official: Bruce Gardner, Resident Physician

Practice location

310 W Losey St

Scott Afb, IL 62225-5250

Phone: (618) 256-6267

Fax: (618) 256-7931

More IL providers

Mailing address

310 W Losey St

Scott Afb, IL 62225-5250

Registry dates

Enumerated: 2005-12-15
Last updated: 2025-05-29

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.