62D MEDICAL GROUP USAF
NPI 1043270549
Clinic/Center - Military/U.S. Coast Guard Outpatient in Mcchord Afb, WA

Active since March 27, 2006
690 A ST, MCCHORD AFB, WA 98438(253) 982-5586(253) 982-5978 Get Directions Write a Review

NPPES record last updated: November 12, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About 62d Medical Group Usaf NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

62D MEDICAL GROUP USAF (NPI 1043270549) is a healthcare organization registered as a military/u.s. coast guard outpatient in Mcchord Afb, Washington and active in the NPI registry since March 2006. The organization lists Serena Lynn Hansken, Air Force Uniform Business Office, as its authorized official.

NPPES Registry Identity

NPI1043270549
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business Name62D MEDICAL GROUP USAF
Location Address690 A STMcchord Afb, WA 98438-1303
Mailing Address690 A StMcchord Afb, WA 98438-1303 · (253) 982-5586 · Fax (253) 982-5978
Fax(253) 982-5978
Organization SubpartNo
Authorized OfficialSerena Lynn HanskenAir Force Uniform Business Office · (703) 588-6419
Enumeration DateMarch 27, 2006
Last NPPES UpdateNovember 12, 2010
NPI 1043270549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Military/U.S. Coast Guard OutpatientAmbulatory Health Care Facilities
Taxonomy Code261QM1100X
Definition
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 examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
Also ListedMilitary/U.S. Coast Guard PharmacyTaxonomy 332000000X
690 A ST, Mcchord Afb, WA 98438

Other Identifiers 2

Medicare UPINVAD000
Other49-27197WA · Ncpdp

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
690 A ST, MCCORD AFB
TACOMA, WA 98438

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 62D Medical Group Usaf's NPI number?

The NPI number for 62D Medical Group Usaf is 1043270549. It was assigned to this organization in the NPPES registry on March 27, 2006.

Where is 62D Medical Group Usaf located?

62D Medical Group Usaf is located at 690 A St, Mcchord Afb, WA 98438. The listed phone number is (253) 982-5586.

What is 62D Medical Group Usaf's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient, with taxonomy code 261QM1100X.

When was this NPI record last updated?

The NPPES record for 62D Medical Group Usaf was last updated on November 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.