Organization · Type 2 NPI

92d Medgrp-Fairchild

Military/U.S. Coast Guard Outpatient Clinic/Center · Fairchild Afb, WA

NPI number 1104888288 Active

Practice location

701 Hospital Loop
Fairchild Afb, WA 99011-8704

Call (509) 247-9264 Map

Fax (509) 247-3535

Specialties and licenses

TaxonomyCodeLicense
Military/U.S. Coast Guard Outpatient Clinic/Center Primary 261QM1100XNone listed
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center 261QM1101XNone listed
Military/U.S. Coast Guard Pharmacy 332000000XNone 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…

61 other providers at this address

About NPI 1104888288

92d Medgrp-Fairchild's National Provider Identifier is 1104888288, issued on Apr 4, 2006. The primary taxonomy on file is Military/U.S. Coast Guard Outpatient Clinic/Center (261QM1100X), and the practice location is in Fairchild Afb, WA. The record was last updated on Jun 17, 2025.