88th Medgrp-Wright-Patterson

NPI #1124206594 in Wpafb, Ohio

Provider Information

NPI Number: 1124206594
Entity Type: Organization
Organization Name: 88th Medgrp-Wright-Patterson
Subpart: Yes (part of a larger organization)
Parent Organization: WRIGHT-PATTERSON MEDICAL CENTER
Primary Specialty: Psychiatric Unit
Enumeration Date: Feb 7, 2008
Last Updated: Mar 12, 2025

Practice Location

Address: 88 SUGAR MAPLE DR.
City: Wpafb
State: Ohio
ZIP Code: 45433
Phone: (937) 257-1363

Authorized Official

Name: DR. RANDON WELTON, M.D.
Title: PROGRAM DIRECTOR
Phone: (937) 257-1363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Acute Care Hospital	282N00000X
Psychiatric Hospital	283Q00000X
Military Hospital	286500000X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Psychiatric Unit	273R00000X	Primary

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