88Th Medical Group

LBN: Wright-Patterson Medical Center
88Th Medical Group is an health care organization with primary practice located at 88 Mdss/Sgsrt 4881 Sugar Maple Drive, Wright Patterson OH 45433-5546. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Military/U.S. Coast Guard Outpatient, Ambulatory Health Care Facilities / Military and U.S. Coast Guard Ambulatory Procedure, Hospitals / Military General Acute Care Hospital, Suppliers / Military/U.S. Coast Guard Pharmacy. Hospitals / Military General Acute Care Hospital is the primary health care specialty. Wright-Patterson Medical Center can be contacted via phone (937) 257-0803, or through Hansken, Serena Lynn via phone (703) 588-6419.

Contact Information

Primary practice address
88 Mdss/Sgsrt 4881 Sugar Maple Drive Wright Patterson OH 45433-5546
Phone: (937) 257-0803
Fax: (937) 656-2656
Website:
Map and Directions
Authorized official contact:
Name: Hansken, Serena Lynn
Phone: (703) 588-6419

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Military/U.S. Coast Guard Outpatient 261QM1100X
Ambulatory Health Care Facilities / Military and U.S. Coast Guard Ambulatory Procedure 261QM1101X
Hospitals / Military General Acute Care Hospital 2865M2000X Ohio
Suppliers / Military/U.S. Coast Guard Pharmacy 332000000X

Profile Details

NPI number 1275568909
LBN Legal business name Wright-Patterson Medical Center
DBA Doing business as 88Th Medical Group
Authorized official Hansken, Serena Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2006
Last updated Feb 8th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275568909 NPPES
Ohio Other 36-66851 NCPDP

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