12th Medical Group Randolph
NPI 1316911597 · Military/U.S. Coast Guard Outpatient Clinic/Center · Randolph a F B, TX
12th Medical Group Randolph is a Military/U.S. Coast Guard Outpatient Clinic/Center organization in Randolph a F B, TX (NPI 1316911597).
Provider details
- NPI number
- 1316911597
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Serena Hansken, Air Force Uniform Business Office(703) 588-6419
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Military/U.S. Coast Guard Pharmacy332000000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Randolph Afb Clinic
Registry dates
- Enumerated
- 2006-02-15
- Last updated
- 2010-11-15
Frequently asked questions
- What is 12th Medical Group Randolph's NPI number?
- 12th Medical Group Randolph's National Provider Identifier (NPI) is 1316911597, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 12th Medical Group Randolph?
- 12th Medical Group Randolph is classified in the NPPES registry as Military/U.S. Coast Guard Outpatient Clinic/Center (Ambulatory Health Care Facilities).
- Where is 12th Medical Group Randolph located?
- 12th Medical Group Randolph's practice location on file with NPPES is 221 3rd St W, Randolph a F B, TX 78150-4800.
- What is 12th Medical Group Randolph's phone number?
- The practice phone number listed in the NPPES registry for 12th Medical Group Randolph is (210) 652-2420.
- Who is the authorized official for 12th Medical Group Randolph?
- The authorized official listed on 12th Medical Group Randolph's NPPES record is Serena Hansken, Air Force Uniform Business Office. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 12th Medical Group Randolph's NPI active?
- Yes — 12th Medical Group Randolph's NPI (1316911597) is active in the NPPES registry as of the last update on 2010-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.