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Active NPI 1124206594 Organization (Entity Type 2) Subpart Facility

88th Medgrp-Wright-Patterson

Psychiatric Unit • Wpafb, OH

Parent Organization: Wright-Patterson Medical Center

About 88th Medgrp-Wright-Patterson NPI 1124206594 Summary

88Th Medgrp-Wright-Patterson is a verified healthcare organization specializing in Psychiatric Unit operating in Wpafb, OH. Located at 88 SUGAR MAPLE DR., this facility provides patient care and medical services under National Provider Identifier (NPI) 1124206594.

88Th Medgrp-Wright-Patterson operates as a subpart facility of Wright-Patterson Medical Center. Administrative operations and authorized compliance are overseen by Randon Welton (Program Director).

Facility Location & Contact Primary Location

Facility Address

88 Sugar Maple Dr.

Wpafb, OH 45433

Telephone 9372571363

Authorized Official Information

Authorized Contact Name

DR. Randon Welton , M.D.

Title / Role

Program Director

Official Telephone

9372571363

Facility Classifications & Specialties

Psychiatric Unit Primary Taxonomy

NUCC Taxonomy Code: 273R00000X

In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.

Clinic/Center - Adult Mental Health

NUCC Taxonomy Code: 261QM0850X

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

General Acute Care Hospital

NUCC Taxonomy Code: 282N00000X

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Psychiatric Hospital

NUCC Taxonomy Code: 283Q00000X

An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

Military Hospital

NUCC Taxonomy Code: 286500000X

A health care facility operated by the Department of Defense.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

7 Historical Events
🏛️
Organization / Clinic Name Updated March 12, 2025

Operating as 88TH MEDGRP-WRIGHT-PATTERSON

NPI Profile Active February 07, 2008

NPI status registered as active in NPPES database

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Updated Practice Location February 07, 2008

Registered at 88 SUGAR MAPLE DR., WPAFB, OH 45433 (Tel: 9372571363)

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Updated Business Mailing Address February 07, 2008

Registered at 7012 WINTER HILL CT, DAYTON, OH 45459 (Tel: 9546477442)

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Organization / Clinic Name Updated February 07, 2008

Operating as 88 MDOS

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2008

Clinic/Center

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Initial NPI Registration & Enumeration February 07, 2008

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1124206594
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: February 07, 2008
Last Update: March 12, 2025

Mailing Address

7012 Winter Hill Ct

Dayton, OH 45459

Phone: 9546477442

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.