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90th Medgrp-Fe Warren

Military/U.S. Coast Guard Outpatient Clinic/Center in Fe Warren Afb, WY · enumerated 2005 · authorized official Jen Lewandowski, Dha Ubo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1609859826

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name 90th Medgrp-Fe Warren
Other name <Unavail>
Parent organization 90th Medgrp-Fe Warren
Practice address 6900 Alden Dr Bldg 160, Fe Warren Afb, WY, 82005
Phone (307) 773-4855
Fax (307) 773-3731
Enumeration date Nov 22, 2005
Last updated in NPPES Jun 17, 2025

Taxonomy & classification

261QM1100X Military/U.S. Coast Guard Outpatient Clinic/Center Ambulatory Health Care Facilities Primary
261QM1101X Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center Ambulatory Health Care Facilities Secondary
332000000X Military/U.S. Coast Guard Pharmacy Suppliers Secondary

Authorized official

Name Jen Lewandowski
Title Dha Ubo
Phone (703) 817-4030

Other identifiers

Identifier Type State Issuer
52-03625 Other WY NCPDP

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is 90th Medgrp-Fe Warren?
90th Medgrp-Fe Warren is registered in NPPES as a Military/U.S. Coast Guard Outpatient Clinic/Center (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-17.