Command Sergeant Major (CSM) Duty Descriptions. Command Sergeant Major of a 250-Soldier Medical Battalion comprised of a Headquarters and Headquarters Detachment, a Medical Company Area Support (MCAS), and Medical Company Ground Ambulance (MCGA); advises the Commander on enlisted matters; sets standards and enforces policies, regulations, and directives; is the extension of the Commander's intent, vision, and execution of the mission; responsible for the health, discipline, morale,
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