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28th Medgrp-Ellsworth

Military/U.S. Coast Guard Outpatient Clinic/Center in Ellsworth Afb, SD · enumerated 2005 · authorized official Jen Lewandowski, Dha Ubo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023091642

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Registry record

Entity type Organization (Type 2)
Legal business name 28th Medgrp-Ellsworth
Other name <Unavail>
Parent organization 28th Medgrp-Ellsworth
Practice address 2900 Doolittle Dr, Ellsworth Afb, SD, 57706
Phone (605) 385-3311
Fax (605) 385-3234
Enumeration date Nov 29, 2005
Last updated in NPPES Jun 17, 2025

Taxonomy & classification

261QM1100X Military/U.S. Coast Guard Outpatient Clinic/Center Ambulatory Health Care Facilities Primary
261QM1101X Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center Ambulatory Health Care Facilities Secondary
332000000X Military/U.S. Coast Guard Pharmacy Suppliers Secondary

Authorized official

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

Other identifiers

Identifier Type State Issuer
4304969 Other SD NCPDP
5351000 Medicaid SD -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for 28th Medgrp-Ellsworth?
The NPI for 28th Medgrp-Ellsworth is 1023091642, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for 28th Medgrp-Ellsworth?
NPPES lists Jen Lewandowski (Dha Ubo) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-17.