60th Medical Group
Military Hospital in Travis Afb, CA. Organization (NPI-2).
NPI number1104925585
StatusActive
Last updated in NPPESJun 13, 2008
Details
- NPI
- 1104925585
- Entity type
- Organization (NPI-2)
- Legal business name
- 60th Medical Group
- Organization subpart
- No
- Enumeration date
- Sep 21, 2006
- Last updated
- Jun 13, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 286500000X | Military Hospital | 4679 | PR | Yes |
Practice location
101 Bodin CirTravis Afb, CA 94535-1809
Phone 707-423-3459
Mailing address
2569 Shorey WayFairfield, CA 94533-6562
Phone 707-423-6459
Authorized official
Marcos Lopez
Clinical Pharmacist
7074233459
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Military Hospital providers in Travis Afb, CA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.