CMS-1500 Box 24J / 33a • NPI
1124206594
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
273R00000X (CMS A0[7])
Licensed & Credentialed Hospital Units — Psychiatric Unit
Box 32 Service Location & ZIP+4
88 SUGAR MAPLE DR., WPAFB, OH, 45433
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1124206594 (88TH MEDGRP-WRIGHT-PATTERSON) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1124206594 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | 88TH MEDGRP-WRIGHT-PATTERSON |
| Plain-English Specialty | Licensed & Credentialed Hospital Units — Psychiatric Unit NUCC Code: 273R00000X (Psychiatric Unit) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 88 SUGAR MAPLE DR., WPAFB, OH, 45433 |
| Practice Telephone / Fax | Tel: (937) 257-1363 |
| Administrative Mailing Address | 7012 WINTER HILL CT, DAYTON, OH, 45459 |
| Enumeration & Last Sync | Enumerated: 2008-02-07 | CMS Record Updated: 2025-03-12 |
| Authorized Official | RANDON WELTON (Program Director) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (273R00000X)
What Does Taxonomy Code 273R00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 273R00000X translates to:
"Licensed & Credentialed Hospital Units — Psychiatric Unit"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (88TH MEDGRP-WRIGHT-PATTERSON)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
261QM0850X — Clinic/Center, Adult Mental HealthPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Secondary |
273R00000X — Psychiatric UnitPlain English: Licensed & Credentialed Hospital Units — Psychiatric Unit | State: N/A | License: Verified | Primary: Yes (Primary) |
282N00000X — General Acute Care HospitalPlain English: Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care) | State: N/A | License: Verified | Primary: Secondary |
283Q00000X — Psychiatric HospitalPlain English: Licensed & Credentialed Hospitals — Psychiatric Hospital | State: N/A | License: Verified | Primary: Secondary |
286500000X — Military HospitalPlain English: Licensed & Credentialed Hospitals — Military Hospital | State: N/A | License: Verified | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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