Organization
60TH MEDGRP-TRAVIS
Active
Parent organization
60TH MEDGRP-TRAVIS
Other names
Travis AFB MTF
Organization subpart
Yes
Provider details
NPI number
Legal business name
60TH MEDGRP-TRAVIS
Authorized official
JENNIFER LEWANDOWSKI (AIR FORCE UBO ANALYST)
(703) 817-4030
Entity
Organization
Contact information
Practice address
101 BODIN CIR, 60TH MEDICAL GROUP, TRAVIS AFB, CA 94535-1809
(707) 451-7913
(707) 423-7574
Mailing address
101 BODIN CIR, 60TH MEDICAL GROUP, TRAVIS AFB, CA 94535-1809
(707) 451-7913
(707) 423-7574
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37-22217
NCPDP
CA
Enumeration date
03/27/2006
Last updated
06/16/2025
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