NPI 1023091642

28th Medgrp-Ellsworth

Organisation Military/U.S. Coast Guard Outpatient Clinic/Center Ellsworth Afb, SD

Practice location

Address: 2900 Doolittle Dr, Ellsworth Afb, SD 57706-4821
Phone: (605) 385-3311
Fax: (605) 385-3234

Authorised official

Name: Jen Lewandowski
Title: Dha Ubo
Phone: (703) 817-4030

Registered specialties (3)

Military/U.S. Coast Guard Outpatient Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM1100X

Other Clinic/Center providers in South Dakota →

Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM1101X

Military/U.S. Coast Guard Pharmacy

Suppliers Taxonomy 332000000X

Other Military/U.S. Coast Guard Pharmacy providers in South Dakota →

Registry record

NPI: 1023091642
Entity type: Organization
NPI issued: 29 Nov 2005
Record last updated: 17 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.