Organization
90TH MEDGRP-FE WARREN
Active
Parent organization
90TH MEDGRP-FE WARREN
Other names
FE Warren AFB
Organization subpart
Yes
Provider details
NPI number
Legal business name
90TH MEDGRP-FE WARREN
Authorized official
JEN LEWANDOWSKI (DHA UBO)
(703) 817-4030
Entity
Organization
Contact information
Practice address
6900 ALDEN DR BLDG 160, FE WARREN AFB, WY 82005-2945
(307) 773-4855
(307) 773-3731
Mailing address
6900 ALDEN DR, FE WARREN AFB, WY 82005-3906
(307) 773-5674
(307) 773-6574
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
—
52-03625
NCPDP
WY
Enumeration date
11/22/2005
Last updated
06/17/2025
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