509th Medgrp-Whiteman
NPI #1033196480 in Whiteman Afb, Missouri
Provider Information
- NPI Number
- 1033196480
- Entity Type
- Organization
- Organization Name
- 509th Medgrp-Whiteman
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- 509TH MEDGRP-WHITEMAN
- Primary Specialty
- Clinic/Center - Military/U.S. Coast Guard Outpatient
- Enumeration Date
- Dec 28, 2005
- Last Updated
- Jun 17, 2025
Practice Location
- Address
- 331 SIJAN AVE
- Address 2
- 509 MDSS SGSR
- City
- Whiteman Afb
- State
- Missouri
- ZIP Code
- 65305-1269
- Phone
- (660) 687-1838
Authorized Official
- Name
- JEN LEWANDOWSKI
- Title
- DHA UBO
- Phone
- (703) 817-4030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military/U.S. Coast Guard Pharmacy |
| Clinic/Center - Military and U.S. Coast Guard Ambulatory Procedure — Military and U.S. Coast Guard Ambulatory Procedure |
| Clinic/Center - Military/U.S. Coast Guard Outpatient — Military/U.S. Coast Guard Outpatient |
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