# MALMSTROM AIR FORCE BASE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104848159
- **Authorized official:** MR. ANTHONY CHRISTOPHER WILSON LMSW (FAMILY ADVOCACY OFFICER)
- **Authorized official phone:** (406) 731-3219

## Contact information

- **Practice address:** 7300 N PERIMETER RD BLDG 2040, 341 MDOS/SGOMHF MALMSTROM AFB, GREAT FALLS, MT 59402-6701
- **Practice address phone:** (406) 731-3219
- **Mailing address:** 7300 N PERIMETER RD BLDG 2040, 341 MDOS/SGOMHF MALMSTROM AFB, GREAT FALLS, MT 59402-6701
- **Mailing address phone:** (406) 731-3219

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | 39921 | TX | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 08/22/2020