NPIMap

Organization Active NPI

Air Force

  • Independent Duty Medical Technicians
  • McChord AFB, WA
National Provider Identifier
1891247706
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty Medical TechniciansTaxonomy code 1710I1003X
Legal business name
AIR FORCE
Practice address
690 Barnes Blvd
McChord AFB, WA 98438-0000
Phone
(253) 982-5688
NPI assigned
Oct 26, 2016
Last updated
Oct 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Authorized official

Name
Isaiah Gary Allison
Title
Idmt
Phone
(360) 589-6025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Medical Technicians 1710I1003X NU Primary

Addresses

Primary practice location

690 Barnes Blvd
McChord AFB, WA 98438-0000

Mailing address

690 Barnes Blvd
McChord AFB, WA 98438-0000

National Provider Directory

National Provider Directory
Tax ID family
United States Air Force29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1891247706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 BARNES BLVD",
            "city": "MCCHORD AFB",
            "state": "WA",
            "postal_code": "984380000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 BARNES BLVD",
            "city": "MCCHORD AFB",
            "state": "WA",
            "postal_code": "984380000",
            "telephone_number": "253-982-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIR FORCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "ISAIAH",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "IDMT",
        "authorized_official_telephone_number": "360-589-6025"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McChord AFB, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.