28TH MEDGRP-ELLSWORTH
NPI 1023091642
Clinic/Center - Military/U.S. Coast Guard Outpatient in Ellsworth Afb, SD
About 28th Medgrp-ellsworth NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
28TH MEDGRP-ELLSWORTH (NPI 1023091642) is a healthcare organization registered as a military/u.s. coast guard outpatient in Ellsworth Afb, South Dakota and active in the NPI registry since November 2005. The organization lists Jen Lewandowski, Dha Ubo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
The Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
Other Names 1
Other Identifiers 2
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ELLSWORTH AFB, SD 57706
ELLSWORTH AFB, SD 57706
ELLSWORTH AFB, SD 57706
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is 28th Medgrp-Ellsworth's NPI number?
The NPI number for 28th Medgrp-Ellsworth is 1023091642. It was assigned to this organization in the NPPES registry on November 29, 2005. The provider is also known as Ellsworth AFB MTF.
Where is 28th Medgrp-Ellsworth located?
28th Medgrp-Ellsworth is located at 2900 Doolittle Dr, Ellsworth Afb, SD 57706. The listed phone number is (605) 385-3311.
What is 28th Medgrp-Ellsworth's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient, with taxonomy code 261QM1100X.
When was this NPI record last updated?
The NPPES record for 28th Medgrp-Ellsworth was last updated on June 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
