# UNITED STATES AIR FORCE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114287059
- **Authorized official:** DENNIS ROBINSON (MAJOR)
- **Authorized official phone:** (210) 565-3821

## Contact information

- **Practice address:** 310 W LOSEY ST, SCOTT AFB, IL 62225-5250
- **Practice address phone:** (618) 256-7361
- **Mailing address:** 310 W LOSEY ST, SCOTT AFB, IL 62225-5250

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 05/25/2012
- **Last updated:** 05/25/2012