Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

419 Medical Squadron

Substance Use Disorder Rehabilitation Hospital Unit in Hill Afb, UT · enumerated 2006 · authorized official Robert Atisme, Mental Health Therapist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1689691230

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Registry record

Entity type Organization (Type 2)

Legal business name 419 Medical Squadron

Practice address 7311 11th St, Hill Afb, UT, 84056

Phone (801) 777-2622

Enumeration date Jul 17, 2006

Last updated in NPPES Jun 13, 2008

Taxonomy & classification

276400000X Substance Use Disorder Rehabilitation Hospital Unit Hospital Units · License 06477 (IA) Primary

Authorized official

Name Robert Atisme

Title Mental Health Therapist

Phone (801) 777-2622

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is 419 Medical Squadron located?

The practice location on file with NPPES is in Hill Afb, UT.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-06-13. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-06-13.