Organization
30TH MEDGRP-VANDENBERG
Active
Parent organization
30TH MEDGRP-VANDENBERG
Other names
DoD VANDENBERG ePhcy
Organization subpart
Yes
Provider details
NPI number
Legal business name
30TH MEDGRP-VANDENBERG
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
338 S DAKOTA AVE BLDG 13850, VANDENBERG AFB, CA 93437-6307
(805) 606-7440
(805) 605-8380
Mailing address
30TH MEDICAL GROUP, 338 S. DAKOTA ST. STE 131-56, VANDENBERG AFB, CA 93437-6307
(805) 606-7440
(805) 605-8380
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146678
PK
—
Enumeration date
07/07/2014
Last updated
06/13/2025
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