Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

17th Medgrp-Goodfellow

Q: What type of organization is 17th Medgrp-Goodfellow?

17th Medgrp-Goodfellow is registered in NPPES as a Military/U.S. Coast Guard Outpatient Clinic/Center (its primary provider taxonomy).

Military/U.S. Coast Guard Outpatient Clinic/Center in Goodfellow Afb, TX · enumerated 2006 · authorized official Jen Lewandowski, Dha Ubo.

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

National Provider Identifier

1104805142

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Registry record

Entity type Organization (Type 2)

Legal business name 17th Medgrp-Goodfellow

Parent organization 17th Medgrp-Goodfellow

Practice address 271 Fort Richardson Ave, Goodfellow Afb, TX, 76908

Phone (325) 654-5974

Fax (325) 654-3121

Enumeration date Jan 10, 2006

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
4596740	Other	TX	NCPDP

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.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is 17th Medgrp-Goodfellow?

17th Medgrp-Goodfellow is registered in NPPES as a Military/U.S. Coast Guard Outpatient Clinic/Center (its primary provider taxonomy).

Providers at this address

Browse all →

Warren Dial Medical Physician Assistant · Goodfellow Afb, TX NPI 1851486419 Paul Schroth Family Nurse Practitioner · Goodfellow Air Force Base, TX NPI 1053400101 Lindsay Denton Optometrist · Goodfellow Afb, TX NPI 1720278773 Pedro Colon Pharmacist · Goodfellow Afb, TX NPI 1053582676 Teresa Stanley Medical Physician Assistant · Goodfellow Afb, TX NPI 1952574824 Alicia Dudley Clinical Social Worker · San Angelo, TX NPI 1588828974 Iveth Galvez Guzman Medical Physician Assistant · Goodfellow Afb, TX NPI 1437460425 17th Medical Group Health Service Clinic/Center · Goodfellow Afb, TX NPI 1235490574

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