Organization
10TH MEDGRP-ACADEMY
Active
Parent organization
10TH MEDGRP-ACADEMY
Other names
USAFA MTF
Organization subpart
Yes
Provider details
NPI number
Legal business name
10TH MEDGRP-ACADEMY
Authorized official
JEN LEWANDOWSKI (AIR FORCE UNIFORM BUSINESS OFFICE)
(703) 817-4030
Entity
Organization
Contact information
Practice address
4102 PINION DR, 10 MDSS SGSB, USAF ACADEMY, CO 80840-2502
(719) 333-5648
(719) 333-5202
Mailing address
4102 PINION DR, 10 MDSS SGSB, USAF ACADEMY, CO 80840-2502
(719) 333-5648
(719) 333-5202
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0616536
NCPDP
CO
Enumeration date
02/07/2006
Last updated
06/16/2025
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