Organization · Type 2 NPI
75th Medgrp-Hill
Military/U.S. Coast Guard Outpatient Clinic/Center · Hill Afb, UT
Practice location
7321 11th St, Bldg 570
Hill Afb, UT 84056-5012
Fax (801) 777-6919
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military/U.S. Coast Guard Outpatient Clinic/Center Primary | 261QM1100X | None listed |
| Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center | 261QM1101X | None listed |
| Military Hospital | 286500000X | None listed |
| Military/U.S. Coast Guard Pharmacy | 332000000X | None listed |
Military/U.S. Coast Guard Outpatient Clinic/Center: The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as exam…
13 other providers at this address
- Dave H. Thacker, MDPediatrics Physician Hill Afb, UT NPI 1194704767
- Eric William Stephan, MSPTPhysical Therapist Hill Afb, UT NPI 1295729432
- Gary Ruesch, NPPediatric Nurse Practitioner Salt Lake City, UT NPI 1851381628
- Jeanine Gail Stettler, PNPPediatric Registered Nurse Hill Afb, UT NPI 1841284056
- Joseph Patrick McFadden, ODOptometrist Hill Afb, UT NPI 1295724151
- Lars UlisseyGeneral Practice Physician Hill Afb, UT NPI 1821087420
- Lee G. Beyer, MD, MPH/TMPublic Health & General Preventive Medicine Physician Hill Afb, UT NPI 1154310308
- Matthew M. Yates, PA-CPhysician Assistant Hill Afb, UT NPI 1538157540
- Nicholas Cosentino, RPHPharmacist Hill Afb, UT NPI 1336216860
- Robert John Boulier Iii, PharmDPharmacist Hill Afb, UT NPI 1093983900
- Shelley Denise Cameron, MPTPhysical Therapist Hill Afb, UT NPI 1730178393
- Stephen Gerard Reinhart, ODOptometrist Hill Afb, UT NPI 1366432841
About NPI 1912971441
75th Medgrp-Hill's National Provider Identifier is 1912971441, issued on Feb 13, 2006. The primary taxonomy on file is Military/U.S. Coast Guard Outpatient Clinic/Center (261QM1100X), and the practice location is in Hill Afb, UT. The record was last updated on Jun 17, 2025.