OrganizationActive
97th Medgrp-Altus
NPI 1093782880 · Military/U.S. Coast Guard Outpatient Clinic/Center · Altus Afb, OK
Provider details
- NPI number
- 1093782880
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- 97th Medgrp-Altus
- Organization subpart
- Yes
- Authorized official
- Jen Lewandowski, Dha Ubo(703) 817-4030
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
301 N 1st St
Bldg 46
Altus Afb, OK 73523-5004
Phone: (580) 481-5400
Fax: (580) 481-5416
Approximate (ZIP-level) locationGet directions
Mailing address
301 N 1st St
Altus Afb, OK 73523-5004
Registry dates
- Enumerated
- 2006-03-01
- Last updated
- 2025-06-17
- Certified
- 2025-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.