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

97th Medgrp-Altus

Organization Military/U.S. Coast Guard Outpatient Clinic/Center · NPI 1093782880

97th Medgrp-Altus is a Military/U.S. Coast Guard Outpatient Clinic/Center in Altus AFB, Oklahoma. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

301 N 1st St Bldg 46
Altus AFB, OK 73523-5004
Phone: (580) 481-5400
Fax: (580) 481-5416
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

Record details

NPI number1093782880
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organization97th Medgrp-Altus
Authorized official Jen Lewandowski — Dha Ubo · (703) 817-4030
NPI enumeratedMarch 1, 2006
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025
Mailing address301 N 1st St, Bldg 46, Altus Afb, OK 73523-5004