Organization · NPI-2

88th Medgrp-Wright-Patterson

Military Hospital, Military General Acute Care Hospital · Wright Patterson, OH

NPI number1275568909
StatusActive
Last updated in NPPESJun 17, 2025

Details

NPI
1275568909
Entity type
Organization (NPI-2)
Legal business name
88th Medgrp-Wright-Patterson
Organization subpart
Yes
Enumeration date
Jul 11, 2006
Certification date
Jun 17, 2025
Last updated
Jun 17, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2865M2000X Military Hospital, Military General Acute Care Hospital–OHYes
261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient––
261QM1101X Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure––
332000000X MilitaryU.S. Coast Guard Pharmacy––

Other names

  • 88th Medical Group (Other Name)

Practice location

88 Mdss/Sgsrt
4881 Sugar Maple Drive
Wright Patterson, OH 45433-5546

Phone 937-257-0803 · Fax 937-656-2656

Mailing address

88 Mdss/Sgsrt
4881 Sugar Maple Drive
Wright Patterson, OH 45433-5546

Phone 937-257-0803 · Fax 937-656-2656

Authorized official

Jen Lewandowski
Dha Ubo
7038174030

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