Malmstrom Air Force Base

Primary specialty

Military HospitalTaxonomy code 286500000X

License

39921 Issued in TX

Legal business name

MALMSTROM AIR FORCE BASE

Practice address

7300 N Perimeter Rd BLDG 2040
341 Mdos/Sgomhf Malmstrom AFB
Great Falls, MT 59402-6701

Phone

(406) 731-3219

NPI assigned

Jul 25, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Anthony Christopher Wilson, LMSWNPI 1942315494

Title

Family Advocacy Officer

Phone

(406) 731-3219

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Christopher Wilson, LCSW

  • Clinical Social Worker
  • Malmstrom AFB, MT
  • NPI 1942315494
  NPD (past) Authorized official
• Ned Crofts, LCSW

  • Clinical Social Worker
  • Nellis AFB, NV
  • NPI 1093045726
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104848159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 N PERIMETER RD BLDG 2040",
            "address_2": "341 MDOS/SGOMHF MALMSTROM AFB",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594026701",
            "telephone_number": "406-731-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 N PERIMETER RD BLDG 2040",
            "address_2": "341 MDOS/SGOMHF MALMSTROM AFB",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594026701",
            "telephone_number": "406-731-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALMSTROM AIR FORCE BASE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "FAMILY ADVOCACY OFFICER",
        "authorized_official_telephone_number": "406-731-3219",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "TX",
            "license": "39921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Anne Maine
• Bobbin Kay Maki, LCPC
• Stephen Arthur Maki, LCSW
• Carlos Malaver Parada, LAC, LCP
• Brian J Malloy, MD
• Levi Cody Maltby, D.M.D
• Mary Dolores Mancillas-Loveless, PTA, LMT, C.PED
• Madelynn Mann
• Rebecca R Mansfield, FNP-BC
• Donna J Marchington, LCPC

• Military Hospital in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Military Hospital in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.