Organization
66TH MEDSQ-HANSCOM
Active
Parent organization
66TH MEDSQ-HANSCOM
Other names
Hanscom MTF
Organization subpart
Yes
Provider details
NPI number
Legal business name
66TH MEDSQ-HANSCOM
Authorized official
JEN LEWANDOWSKI (DHA UBO)
(703) 817-4030
Entity
Organization
Contact information
Practice address
90 VANDENBERG DR, BLDG 1900, HANSCOM AFB, MA 01731-2104
(781) 377-1770
(781) 377-9840
Mailing address
90 VANDENBERG DR, BLDG 1900, HANSCOM AFB, MA 01731-2104
(781) 377-1770
(781) 377-9840
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
—
22-38029
NCPDP
MA
Enumeration date
02/22/2006
Last updated
06/17/2025
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