19TH MEDGRP-LITTLE ROCK
NPI 1073591830
Clinic/Center - Military/U.S. Coast Guard Outpatient in Lr Afb, AR

Active since January 03, 2006
1090 ARNOLD DR, LR AFB, AR 72099(501) 987-7414(501) 987-7310 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 16, 2025, May 29, 2025 (2 updates tracked since 2025).

About 19th Medgrp-little Rock NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

19TH MEDGRP-LITTLE ROCK (NPI 1073591830) is a healthcare organization registered as a military/u.s. coast guard outpatient in Lr Afb, Arkansas and active in the NPI registry since January 2006. The organization lists Jen Lewandowski, Air Force Ubo Analyst, as its authorized official.

NPPES Registry Identity

NPI1073591830
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business Name19TH MEDGRP-LITTLE ROCK
Location Address1090 ARNOLD DRLr Afb, AR 72099-4933
Mailing Address1090 Arnold DrLr Afb, AR 72099-4933 · (501) 987-7414 · Fax (501) 987-7310
Fax(501) 987-7310
Organization SubpartYes
Authorized OfficialJen LewandowskiAir Force Ubo Analyst · (703) 817-4030
Enumeration DateJanuary 3, 2006
Last NPPES UpdateJune 16, 20252 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
NPI 1073591830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Military/U.S. Coast Guard OutpatientAmbulatory Health Care Facilities
Taxonomy Code261QM1100X
Definition

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.

Also ListedMilitary/U.S. Coast Guard PharmacyTaxonomy 332000000X
1090 ARNOLD DR, Lr Afb, AR 72099

Other Names 1

Other NameLittle Rock Afb Mtf

Other Identifiers 1

Other420846AR · Ncpdp

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.

Nurse Practitioner (Pediatrics)
1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099
Pharmacist
1090 ARNOLD DR
LITTLE ROCK AIR FORCE BASE, AR 72099
Dentist (General Practice)
1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099
Pharmacist
1090 ARNOLD DR
JACKSONVILLE, AR 72099
Social Worker (Clinical)
1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099
Optometrist
1090 ARNOLD DR
LITTLE ROCK AIR FORCE BASE, AR 72099
Military Health Care Provider (Independent Duty Medical Technicians)
1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099
Military Health Care Provider (Independent Duty Medical Technicians)
1090 ARNOLD DR, BLDG 1090/FLIGHT MEDICINE
LR AFB, AR 72099

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073591830, enumerated as an "organization" on January 03, 2006.

The provider is located at 1090 ARNOLD DR LR AFB, AR 72099 and the phone number is (501) 987-7414.

Clinic/Center with taxonomy code 261QM1100X and a focus in Military/U.S. Coast Guard Outpatient.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.