Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

92D Medgrp-Fairchild

Organization Military/U.S. Coast Guard Outpatient Clinic/Center · NPI 1104888288

92D Medgrp-Fairchild is a Military/U.S. Coast Guard Outpatient Clinic/Center in Fairchild AFB, Washington. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3

Practice location Address checks out

701 Hospital Loop
Fairchild AFB, WA 99011-8704
Phone: (509) 247-9264
Fax: (509) 247-3535
Show map & directions

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 number1104888288
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organization92D Medgrp-Fairchild
Authorized official Jen Lewandowski — Dha Ubo · (703) 817-4030
Other names Fairchild Afb Mtf
NPI enumeratedApril 4, 2006
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025
Mailing address701 Hospital Loop, Fairchild Afb, WA 99011-8704