Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

419 Medical Squadron

Organization Substance Use Disorder Rehabilitation Hospital Unit · NPI 1689691230

419 Medical Squadron is a Substance Use Disorder Rehabilitation Hospital Unit in Hill AFB, Utah. Licensed in Iowa. Registered with an NPI since 2006.

Licensed in
IA
In the registry since
2006

Practice location Address checks out

7311 11th St
Hill AFB, UT 84056-5012
Phone: (801) 777-2622
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Hospital Unit (primary) Taxonomy 276400000X · Licence 06477 (IA)

Record details

NPI number1689691230
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Atisme — Mental Health Therapist · (801) 777-2622
NPI enumeratedJuly 17, 2006
Last updated in NPPESJune 13, 2008
Mailing address3626 W 2000 N, West Point, UT 84015-7300