OrganizationActive
412th Medgrp-Edwards
NPI 1891765046 · Military/U.S. Coast Guard Outpatient Clinic/Center · Edwards Afb, CA
Provider details
- NPI number
- 1891765046
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- 412th Medgrp-Edwards
- Authorized official
- Jen Lewandowski, Air Force Ubo Analyst
Practice location
30 Nightingale Rd
Bldg 5525
Edwards Afb, CA 93524-0001
Phone: (661) 275-2634
Fax: (661) 277-6645
Mailing address
30 Nightingale Rd
Edwards Afb, CA 93524-0001
Registry dates
- Enumerated
- 2006-01-23
- Last updated
- 2025-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.