Organization · Type 2 NPI
97th Medgrp-Altus
Military/U.S. Coast Guard Outpatient Clinic/Center · Altus Afb, OK
Practice location
301 N 1st St, Bldg 46
Altus Afb, OK 73523-5004
Fax (580) 481-5416
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military/U.S. Coast Guard Outpatient Clinic/Center Primary | 261QM1100X | None listed |
Military/U.S. Coast Guard Outpatient Clinic/Center: The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as exam…
21 other providers at this address
- 97th Medgrp-AltusMilitary/U.S. Coast Guard Pharmacy Altus Afb, OK NPI 1598177370
- Altus Phcy 97th MDGMilitary/U.S. Coast Guard Pharmacy Altus Afb, OK NPI 1336246180
- Alexandra E. Hernandez, DDSDentist Altus, OK NPI 1023324241
- Chanda Te'neil Miranda, RN, BSNAmbulatory Care Registered Nurse Altus Afb, OK NPI 1194511584
- Christina S. HongPharmacist Altus Afb, OK NPI 1528393626
- Christopher Lillenberg, DDSDentist Altus Afb, OK NPI 1063075414
- Guy EricksonOptometrist Altus Afb, OK NPI 1083558712
- Isaac YourisonFamily Medicine Physician Altus, OK NPI 1285088930
- James Robert Campbell Iii, MDPediatrics Physician Altus, OK NPI 1336554310
- Julianne Rodgers Shytle, PharmDPharmacist Altus, OK NPI 1720817778
- Katelin Elise Thai, DOOccupational Medicine Physician Altus Afb, OK NPI 1063894467
- Katon Rans Harwood, DOAerospace Medicine Physician Altus Afb, OK NPI 1750083978
About NPI 1093782880
97th Medgrp-Altus's National Provider Identifier is 1093782880, issued on Mar 1, 2006. The primary taxonomy on file is Military/U.S. Coast Guard Outpatient Clinic/Center (261QM1100X), and the practice location is in Altus Afb, OK. The record was last updated on Jun 17, 2025.