28th Medgrp-Ellsworth
NPI #1023091642 in Ellsworth Afb, South Dakota
Provider Information
- NPI Number
- 1023091642
- Entity Type
- Organization
- Organization Name
- 28th Medgrp-Ellsworth
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- 28TH MEDGRP-ELLSWORTH
- Primary Specialty
- Clinic/Center - Military/U.S. Coast Guard Outpatient
- Enumeration Date
- Nov 29, 2005
- Last Updated
- Jun 17, 2025
Practice Location
- Address
- 2900 DOOLITTLE DR
- City
- Ellsworth Afb
- State
- South Dakota
- ZIP Code
- 57706-4821
- Phone
- (605) 385-3311
Authorized Official
- Name
- JEN LEWANDOWSKI
- Title
- DHA UBO
- Phone
- (703) 817-4030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Military and U.S. Coast Guard Ambulatory Procedure — Military and U.S. Coast Guard Ambulatory Procedure |
| Military/U.S. Coast Guard Pharmacy |
| Clinic/Center - Military/U.S. Coast Guard Outpatient — Military/U.S. Coast Guard Outpatient |
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