412th Medgrp-Edwards
412th Medgrp-Edwards is a Military/U.S. Coast Guard Outpatient Clinic/Center in Edwards AFB, California. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 3
Practice location Address checks out
30 Nightingale Rd Bldg 5525Edwards AFB, CA 93524-0001
Phone: (661) 275-2634
Fax: (661) 277-6645
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Military/U.S. Coast Guard Outpatient Clinic/Center (primary) | Taxonomy 261QM1100X |
|---|---|
| Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center | Taxonomy 261QM1101X |
| Military/U.S. Coast Guard Pharmacy | Taxonomy 332000000X |
Record details
| NPI number | 1891765046 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | 412th Medgrp-Edwards |
| Authorized official | Jen Lewandowski — Air Force Ubo Analyst · (703) 817-4030 |
| NPI enumerated | January 23, 2006 |
| Last updated in NPPES | June 16, 2025 |
| Certification date | June 16, 2025 |
| Mailing address | 30 Nightingale Rd, Bldg 5525, Edwards Afb, CA 93524-0001 |