Taxonomy Code 1710I1003X(1710i1003x)
Independent Duty Medical Technicians. Providers: 11

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1720212897

IDMT Dana Marie Thompson

Individual

819 Rhs/sg

6944 Goddard Drive

Malmstrom Afb, MT

1336499938

IDMT Cody Wayne Bohlke

Individual

1009 Briarwood Ct

Great Falls, MT

1265862478

Michael Rohan

Individual

7300 N Perimeter Rd

Malmstrom Afb, MT

1144688300

Paul Webb

Individual

208 Webb Ln

Columbia Falls, MT

1609327428

Usaf

Organization

7300 N Perimeter Rd

Great Falls, MT

1639644339

Anton Garcia Hayward

Individual

7300 N Perimeter Rd

Great Falls, MT

1811530751

Chelsea Allaire Barrow

Individual

33498 Jocko Rd

Arlee, MT

1891335881

Lidya Paola Galvan Reyes

Individual

7300 N Perimeter Rd

Great Falls, MT

1659906527

Kelsey Gavin Aldridge

Individual

7300 N Perimeter Rd

Great Falls, MT

1154939643

John Robert Powell

Individual

7300 N Perimeter Rd Bldg 2040

Malmstrom Afb, MT

1790449668

Garrett Michael Theisen

Individual

7300 N Perimeter Rd

Great Falls, MT

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 1710I1003X
Specialization Independent Duty Medical Technicians
Display Name Independent Duty Medical Technicians
Taxonomy Group Other Service Providers
Taxonomy Classification Military Health Care Provider
Definition 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.
Effective Date September 30, 2009
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Military Health Care Provider Codes

Independent Duty Corpsman

1710I1002X • providers: 3,002

Military Health Care Provider

171000000X • providers: 1,689