90TH MEDGRP-FE WARREN
NPI 1609859826
Clinic/Center - Military/U.S. Coast Guard Outpatient in Fe Warren Afb, WY

Active since November 22, 2005
6900 ALDEN DR BLDG 160, FE WARREN AFB, WY 82005(307) 773-4855(307) 773-3731 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 17, 2025, Jun 12, 2025, Feb 27, 2023 (3 updates tracked since 2023).

About 90th Medgrp-fe Warren NPPES

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

90TH MEDGRP-FE WARREN (NPI 1609859826) is a healthcare organization registered as a military/u.s. coast guard outpatient in Fe Warren Afb, Wyoming and active in the NPI registry since November 2005. The organization lists Jen Lewandowski, Dha Ubo, as its authorized official.

NPPES Registry Identity

NPI1609859826
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business Name90TH MEDGRP-FE WARREN
Location Address6900 ALDEN DR BLDG 160Fe Warren Afb, WY 82005-2945
Mailing Address6900 Alden DrFe Warren Afb, WY 82005-3906 · (307) 773-5674 · Fax (307) 773-6574
Fax(307) 773-3731
Organization SubpartYes
Authorized OfficialJen LewandowskiDha Ubo · (703) 817-4030
Enumeration DateNovember 22, 2005
Last NPPES UpdateJune 17, 20253 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
NPI 1609859826 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
6900 ALDEN DR BLDG 160, Fe Warren Afb, WY 82005

Other Names 1

Other NameFe Warren Afb

Other Identifiers 1

Other52-03625WY · Ncpdp

Other Providers at the Same Location NPPES 15

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

Pharmacist
6900 ALDEN DR BLDG 160
FE WARREN AFB, WY 82005
Social Worker (Clinical)
6900 ALDEN DR BLDG 160
CHEYENNE, WY 82005
Military Health Care Provider (Independent Duty Medical Technicians)
6900 ALDEN DR BLDG 160
FE WARREN AFB, WY 82005
Physician Assistant
6900 ALDEN DR BLDG 160
FE WARREN AFB, WY 82005
Military Health Care Provider
6900 ALDEN DR BLDG 160
CHEYENNE, WY 82005
Physician Assistant
6900 ALDEN DR BLDG 160
FE WARREN AFB, WY 82005
Registered Nurse (Case Management)
6900 ALDEN DR BLDG 160
FE WARREN AFB, WY 82005
Pediatrics
6900 ALDEN DR BLDG 160
FE WARREN AFB, WY 82005

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609859826, enumerated as an "organization" on November 22, 2005.

The provider is located at 6900 ALDEN DR BLDG 160 FE WARREN AFB, WY 82005 and the phone number is (307) 773-4855.

Clinic/Center with taxonomy code 261QM1100X and a focus in Military/U.S. Coast Guard Outpatient.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.