Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
62D MEDICAL GROUP USAF
Active
Organization
62D MEDICAL GROUP USAF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERENA LYNN HANSKEN (AIR FORCE UNIFORM BUSINESS OFFICE)
(703) 588-6419
Entity
Organization
Contact information
Practice address
690 A ST, MCCHORD AFB, WA 98438-1303
(253) 982-5586
(253) 982-5978
Mailing address
690 A ST, MCCHORD AFB, WA 98438-1303
(253) 982-5586
(253) 982-5978
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
NULL
261QM1101X
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center
—
NULL
332000000X
Military/U.S. Coast Guard Pharmacy
—
NULL
Other
Enumeration date
03/27/2006
Last updated
11/12/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers