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
—
—
261QM1101X
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center
—
—
332000000X
Military/U.S. Coast Guard Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49-27197
NCPDP
WA
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.
Contact us