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90TH MEDGRP-FE WARREN
6900 ALDEN DR BLDG 160
WARREN AFB, WY82005-2945
 Phone: 307-773-4855
 Fax: 307-773-3731
 Website:
Indicates primary specialty

NPI Profile & details for 90TH MEDGRP-FE WARREN

NPI # 1609859826
LBN Legal business name 90TH MEDGRP-FE WARREN
Authorized official JEN LEWANDOWSKI - (DHA UBO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/22/2005
Last updated 06/17/2025 - About 12 months ago
Identifiers
WY Other 52-03625 NCPDP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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