Organization
341ST MEDGRP-MALMSTROM
Active
Parent organization
341ST MEDGRP-MALMSTROM
Other names
Malmstrom AFB MTF
Organization subpart
Yes
Provider details
NPI number
Legal business name
341ST MEDGRP-MALMSTROM
Authorized official
JEN LEWANDOWSKI (DHA UBO)
(703) 817-4030
Entity
Organization
Contact information
Practice address
7300 N PERIMETER RD, MALMSTROM AFB, MT 59402-6701
(406) 731-3863
(406) 731-3369
Mailing address
7300 N PERIMETER RD, MALMSTROM AFB, MT 59402-6701
(406) 731-3863
(406) 731-3369
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
261QM1101X
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center
—
—
332000000X
Military/U.S. Coast Guard Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27-06387
NCPDP
MT
Enumeration date
05/01/2006
Last updated
06/17/2025
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