Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
412TH MEDGRP-EDWARDS
Active Organization412TH MEDGRP-EDWARDS is a Military/U.S. Coast Guard Outpatient Clinic organization located in EDWARDS AFB, California. NPI 1891765046 is currently active in the NPPES registry. Verify at CMS.
Military/U.S. Coast Guard Outpatient Clinic · EDWARDS AFB, CA
Registration Details
- NPI Number
- 1891765046
- Provider Type
- Organization
- NPI Issued
- Jan 23, 2006 (20.598858865167 yrs)
- Last Updated
- Jun 16, 2025
Practice Information
- Address
-
30 NIGHTINGALE RDBLDG 5525EDWARDS AFB, CA, 935240001Browse CA providers · Browse ZIP 93524
- Phone
- 6612752634
- Fax
- 6612776645
- Primary Specialty
-
Military/U.S. Coast Guard Outpatient Clinic
261QM1100X
- Additional Specialty
- Military/U.S. Coast Guard Pharmacy
- Additional Specialty
- Military/U.S. Coast Guard Outpatient Clinic
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.