71st Medgrp-Vance

NPI #1932187838 in Enid, Oklahoma

Provider Information

NPI Number: 1932187838
Entity Type: Organization
Organization Name: 71st Medgrp-Vance
Subpart: Yes (part of a larger organization)
Parent Organization: 71ST MEDGRP-VANCE
Primary Specialty: Clinic/Center - Military/U.S. Coast Guard Outpatient
Enumeration Date: Jan 3, 2006
Last Updated: Jun 17, 2025

Practice Location

Address: 527 GOTT RD
City: Enid
State: Oklahoma
ZIP Code: 73705-5103
Phone: (580) 213-7907

Authorized Official

Name: JEN LEWANDOWSKI
Title: DEFENSE HEALTH AGENCY (DHA) FINANCI
Phone: (703) 817-4030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Military and U.S. Coast Guard Ambulatory Procedure — Military and U.S. Coast Guard Ambulatory Procedure	261QM1101X
Military/U.S. Coast Guard Pharmacy	332000000X
Clinic/Center - Military/U.S. Coast Guard Outpatient — Military/U.S. Coast Guard Outpatient	261QM1100X	Primary

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