412TH Medgrp-Edwards

Organization Active
NPI 1891765046
Military/U.S. Coast Guard Outpatient Clinic/Center Edwards Afb, CA

412TH Medgrp-Edwards holds NPI 1891765046, with a primary taxonomy of military/u.s. coast guard outpatient clinic/center and a practice location in Edwards Afb, CA. The number was issued on January 23, 2006 and the NPPES record was last updated on June 16, 2025. The record lists 3 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Military/U.S. Coast Guard Outpatient Clinic/Center Primary 261QM1100X Not listed
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center 261QM1101X Not listed
Military/U.S. Coast Guard Pharmacy 332000000X Not listed

Practice location

30 Nightingale Rd
Bldg 5525
Edwards Afb, CA 93524-0001
Phone: (661) 275-2634

Local context

Active NPPES records list 1 provider with military/u.s. coast guard outpatient clinic/center as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 58 in California and 683 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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