| Organization Name: | USAF |
| NPI Number: | 1174500961 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KORY CORNUM (MEDICAL GROUP COMMANDER) |
| Mailing Address: | 1st Medical Group 45 Pine Road Langley Afb |
| State: | VA US |
| Postal Code: | 236652080 |
| Phone Number: | 7577647611 |
| Fax Number: | |
| NPI Enumeration Date: | 12/22/2005 |
| NPI Last Update Date: | 04/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 286500000X |
| License Number: | 014623 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Military Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A health care facility operated by the Department of Defense. |