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22D MEDGRP-MCCONNELL
NPI 1700846813
Clinic/Center - Military/U.S. Coast Guard Outpatient in Mcconnell Afb, KS

Active since March 23, 2006
57950 LEAVENWORTH ST 6E4, MCCONNELL AFB, KS 67221(316) 759-5000(316) 759-5038 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 17, 2025, May 30, 2025 (2 updates tracked since 2025).

About 22d Medgrp-mcconnell NPPES

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

22D MEDGRP-MCCONNELL (NPI 1700846813) is a healthcare organization registered as a military/u.s. coast guard outpatient in Mcconnell Afb, Kansas and active in the NPI registry since March 2006. The organization lists Jen Lewandowski, Dha Ubo, as its authorized official.

NPPES Registry Identity

NPI1700846813
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business Name22D MEDGRP-MCCONNELL
Location Address57950 LEAVENWORTH ST 6E4Mcconnell Afb, KS 67221-3506
Mailing Address57950 Leavenworth St 6e4Mcconnell Afb, KS 67221-3506 · (316) 759-5000 · Fax (316) 759-5038
Phone(316) 759-5000
Fax(316) 759-5038
Organization SubpartYes
Authorized OfficialJen LewandowskiDha Ubo · (703) 817-4030
Enumeration DateMarch 23, 2006
Last NPPES UpdateJune 17, 20252 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
✔ NPI 1700846813 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 ListedClinic/Center · Military and U.S. Coast Guard Ambulatory ProcedureTaxonomy 261QM1101X
Also ListedMilitary/U.S. Coast Guard PharmacyTaxonomy 332000000X
57950 LEAVENWORTH ST 6E4, Mcconnell Afb, KS 67221
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Other Names 1

Other NameMcconnell Afb Mtf

Other Identifiers 1

Other17-17517KS · Ncpdp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

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 22D Medgrp-Mcconnell's NPI number?

The NPI number for 22D Medgrp-Mcconnell is 1700846813. It was assigned to this organization in the NPPES registry on March 23, 2006. The provider is also known as McConnell AFB MTF.

Where is 22D Medgrp-Mcconnell located?

22D Medgrp-Mcconnell is located at 57950 Leavenworth St 6e4, Mcconnell Afb, KS 67221. The listed phone number is (316) 759-5000.

What is 22D Medgrp-Mcconnell's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient, with taxonomy code 261QM1100X.

What insurance does 22D Medgrp-Mcconnell accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list 22D Medgrp-Mcconnell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for 22D Medgrp-Mcconnell was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.