Organization
78TH MEDGRP-ROBINS
Active
Parent organization
78TH MEDGRP-ROBINS
Organization subpart
Yes
Provider details
NPI number
Legal business name
78TH MEDGRP-ROBINS
Authorized official
JEN LEWANDOWSKI (AIR FORCE UNIFORM BUSINESS OFFICE)
(703) 817-4030
Entity
Organization
Contact information
Practice address
655 7TH ST, ROBINS AFB, GA 31098-2227
(478) 327-8389
(478) 327-8395
Mailing address
655 7TH ST, ROBINS AFB, GA 31098-2227
(478) 327-8389
(478) 327-8395
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
261QM1101X
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center
—
—
332000000X
Military/U.S. Coast Guard Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-46756
NCPDP
GA
Enumeration date
01/20/2006
Last updated
06/16/2025
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