Organization
88TH MEDGRP-WRIGHT-PATTERSON
Active
Organization
88TH MEDGRP-WRIGHT-PATTERSON
Active
Parent organization
WRIGHT-PATTERSON MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
WRIGHT-PATTERSON MEDICAL CENTER
Authorized official
DR. RANDON WELTON M.D. (PROGRAM DIRECTOR)
(937) 257-1363
Entity
Organization
Contact information
Practice address
88 SUGAR MAPLE DR., WPAFB, OH 45433
(937) 257-1363
Mailing address
7012 WINTER HILL CT, DAYTON, OH 45459
(954) 647-7442
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
273R00000X
Psychiatric Hospital Unit
Primary
—
—
282N00000X
General Acute Care Hospital
—
—
283Q00000X
Psychiatric Hospital
—
—
286500000X
Military Hospital
—
—
Other
Enumeration date
02/07/2008
Last updated
03/12/2025
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