MRS. IDMT Athena Lee Castilleja Ezernack, NPI 1790014660
Independent Duty Medical Technicians in Barksdale Afb, LA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1790014660
NPI Entity Type Individual
Provider Name MRS. IDMT Athena Lee Castilleja Ezernack
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 407 Barksdale Blvd E, Barksdale Afb, LA, US
Provider Mailing Address 407 Barksdale Blvd E, Barksdale Afb, LA, US, 711102125
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

1710I1003X

Taxonomy Name Independent Duty Medical Technicians
Classification

Military Health Care Provider

Group

Other Service Providers

Description An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.

Business Address

MRS. IDMT Athena Lee Castilleja Ezernack
407 Barksdale Blvd E

Barksdale Afb, LA, US

Phone: 318-456-6165

Mailing Address

MRS. IDMT Athena Lee Castilleja Ezernack
407 Barksdale Blvd E
Barksdale Afb, LA, US
ZIP 711102125
Phone: 318-456-6165

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