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: August 09, 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.

Social Worker (Clinical)
1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099
Counselor (Addiction (Substance Use Disorder))
1090 ARNOLD DR
JACKSONVILLE, AR 72099
Pharmacist
1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099
Psychologist (Clinical)
1090 ARNOLD DR
LITTLE ROCK AIR FORCE BASE, AR 72099
Social Worker (Clinical)
1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099
Registered Nurse (Case Management)
1090 ARNOLD DR
LITTLE ROCK AIR FORCE BASE, AR 72099
Dietitian, Registered
1090 ARNOLD DR
LITTLE ROCK AIR FORCE BASE, AR 72099
Dental Hygienist
1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099

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 19th Medgrp-Little Rock's NPI number?

The NPI number for 19th Medgrp-Little Rock is 1073591830. It was assigned to this organization in the NPPES registry on January 3, 2006. The provider is also known as Little Rock AFB MTF.

Where is 19th Medgrp-Little Rock located?

19th Medgrp-Little Rock is located at 1090 Arnold Dr, Lr Afb, AR 72099. The listed phone number is (501) 987-7414.

What is 19th Medgrp-Little Rock'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 19th Medgrp-Little Rock was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.