OrganizationActive
92d Medgrp-Fairchild
NPI 1104888288 · Military/U.S. Coast Guard Outpatient Clinic/Center · Fairchild Afb, WA
Provider details
- NPI number
- 1104888288
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- 92d Medgrp-Fairchild
- Organization subpart
- Yes
- Authorized official
- Jen Lewandowski, Dha Ubo(703) 817-4030
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Military/U.S. Coast Guard Pharmacy332000000X
Suppliers
Practice location
701 Hospital Loop
Fairchild Afb, WA 99011-8704
Phone: (509) 247-9264
Fax: (509) 247-3535
Approximate (ZIP-level) locationGet directions
Mailing address
701 Hospital Loop
Fairchild Afb, WA 99011-8704
Other names (DBA / former)
- Other name
- Fairchild Afb Mtf
Registry dates
- Enumerated
- 2006-04-04
- 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.