Organization
75TH MEDGRP-HILL
Active
Parent organization
75TH MEDGRP-HILL
Other names
Hill AFB MTF
Organization subpart
Yes
Provider details
NPI number
Legal business name
75TH MEDGRP-HILL
Authorized official
JEN LEWANDOWSKI (DHA UBO)
(703) 817-4030
Entity
Organization
Contact information
Practice address
7321 11TH ST, BLDG 570, HILL AFB, UT 84056-5012
(801) 586-9548
(801) 777-6919
Mailing address
7321 11TH ST, BLDG 570, HILL AFB, UT 84056-5012
(801) 586-9548
(801) 777-6919
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
—
—
286500000X
Military Hospital
—
UT
332000000X
Military/U.S. Coast Guard Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134228257
NPPES
UT
01
—
46-09256
NCPDP
UT
Enumeration date
02/13/2006
Last updated
06/17/2025
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