# 10TH MEDGRP-ACADEMY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** 10TH MEDGRP-ACADEMY
- **Other names:** USAFA MTF
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1780657239
- **Legal business name:** 10TH MEDGRP-ACADEMY
- **Authorized official:** JEN LEWANDOWSKI (AIR FORCE UNIFORM BUSINESS OFFICE)
- **Authorized official phone:** (703) 817-4030

## Contact information

- **Practice address:** 4102 PINION DR, 10 MDSS SGSB, USAF ACADEMY, CO 80840-2502
- **Practice address phone:** (719) 333-5648
- **Practice address fax:** (719) 333-5202
- **Mailing address:** 4102 PINION DR, 10 MDSS SGSB, USAF ACADEMY, CO 80840-2502
- **Mailing address phone:** (719) 333-5648
- **Mailing address fax:** (719) 333-5202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/07/2006
- **Last updated:** 06/16/2025