88TH Medgrp-Wright-Patterson
Organization Active NPI Psychiatric Hospital Unit · Wpafb, OH
NPI 1124206594 · NPPES record last updated Mar 12, 2025
Key facts
- NPI
- 1124206594
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Hospital Unit 273R00000X
- Legal business name
- 88TH MEDGRP-WRIGHT-PATTERSON
- Practice address
- 88 Sugar Maple Dr.
Wpafb, OH 45433 - Phone
- (937) 257-1363
- NPI assigned
- Feb 7, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- WRIGHT-PATTERSON MEDICAL CENTER
Authorized official
- Name
- Dr. Randon Welton, M.D.
- Title
- Program Director
- Phone
- (937) 257-1363
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- 88TH Medgrp-Wright-Patterson
- Part of
- 88TH Medgrp-Wright-Patterson
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Psychiatric Hospital Unit | 273R00000X | Yes | ||
| General Acute Care Hospital | 282N00000X | |||
| Psychiatric Hospital | 283Q00000X | |||
| Military Hospital | 286500000X |
Addresses
Primary practice location
88 Sugar Maple Dr.
Wpafb, OH 45433
Mailing address
7012 Winter Hill CT
Dayton, OH 45459
Phone (954) 647-7442
Other providers in Wpafb, OH
All providers in Wpafb, OH · Psychiatric Hospital Unit in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.