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Organization
9TH MEDGRP-BEALE
Active
Organization
9TH MEDGRP-BEALE
Active
Parent organization
9TH MEDGRP-BEALE
Organization subpart
Yes
Provider details
NPI number
Legal business name
9TH MEDGRP-BEALE
Authorized official
JEN LEWANDOWSKI (AIR FORCE UNIFORM BUSINESS OFFICE)
(703) 817-4030
Entity
Organization
Contact information
Practice address
15301 WARREN SHINGLE RD, BLDG 5706, BEALE AFB, CA 95903-1907
(530) 634-4866
(530) 634-4966
Mailing address
15301 WARREN SHINGLE RD, BLDG 5706, BEALE AFB, CA 95903-1907
(530) 634-4866
(530) 634-4966
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
NULL
261QM1101X
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center
—
NULL
332000000X
Military/U.S. Coast Guard Pharmacy
—
NULL
Other
Enumeration date
01/30/2006
Last updated
06/16/2025
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