| Organization Name: | DEPARTMENT OF THE AIR FORCE |
| NPI Number: | 1285618363 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SERENA LYNN HANSKEN (AIR FORCE UNIFORM BUSINESS OFFICE) |
| Mailing Address: | 5700 Arnold St Tinker Afb |
| State: | OK US |
| Postal Code: | 731458105 |
| Phone Number: | 4057362143 |
| Fax Number: | 4057362220 |
| NPI Enumeration Date: | 12/02/2005 |
| NPI Last Update Date: | 11/12/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1101X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Military and U.S. Coast Guard Ambulatory Procedure |
| Taxonomy Definition: | That part of a |