92d Medgrp-Fairchild
NPI #1104888288 in Fairchild Afb, Washington
Provider Information
- NPI Number
- 1104888288
- Entity Type
- Organization
- Organization Name
- 92d Medgrp-Fairchild
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- 92D MEDGRP-FAIRCHILD
- Primary Specialty
- Clinic/Center - Military/U.S. Coast Guard Outpatient
- Enumeration Date
- Apr 4, 2006
- Last Updated
- Jun 17, 2025
Practice Location
- Address
- 701 HOSPITAL LOOP
- City
- Fairchild Afb
- State
- Washington
- ZIP Code
- 99011-8704
- Phone
- (509) 247-9264
Authorized Official
- Name
- JEN LEWANDOWSKI
- Title
- DHA UBO
- Phone
- (703) 817-4030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Military and U.S. Coast Guard Ambulatory Procedure — Military and U.S. Coast Guard Ambulatory Procedure |
| Military/U.S. Coast Guard Pharmacy |
| Clinic/Center - Military/U.S. Coast Guard Outpatient — Military/U.S. Coast Guard Outpatient |
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