460th Medgrp-Buckley
460th Medgrp-Buckley is a healthcare organization registered as Military/U.S. Coast Guard Outpatient Clinic/Center in Aurora, CO, holding Type 2 (organization) NPI 1174507420 since 2005. The authorized official on file is Jen Lewandowski, Dha Ubo.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1174507420 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | 460th Medgrp-Buckley |
| Other name | <Unavail> |
| Parent organization | 460th Medgrp-Buckley |
| Practice address | 275 S ASPEN ST STOP 89, Aurora, CO, 80011 |
| Phone | 7202779493 |
| Enumeration date | 2005-11-30 |
| Last updated in NPPES | 2025-06-17 |
Authorized official
| Name | Jen Lewandowski |
|---|---|
| Title | Dha Ubo |
| Phone | 7038174030 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | Secondary | — | — |
| 261QM1101X | Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center | Secondary | — | — |
| 332000000X | Military/U.S. Coast Guard Pharmacy | Secondary | — | — |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932206786 | Other | CO | NPPES |
| 06-16790 | Other | CO | NCPDP |
Copy-ready billing details
Provider: 460th Medgrp-Buckley NPI: 1174507420 Taxonomy: 261QM1100X (Military/U.S. Coast Guard Outpatient Clinic/Center) Address: 275 S ASPEN ST STOP 89, Aurora, CO, 80011
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1821161209 | Beltecezar Gorospe | Individual | Physician Assistant | Buckley Afb, CO |
| 1215106968 | Lorie Gose | Individual | Clinical Psychologist | Buckley Afb, CO |
| 1437315330 | Jenna Preston | Individual | Psychologist | Aurora, CO |
| 1942580782 | Kimberly Burford | Individual | Dentist | Buckley Afb, CO |
| 1053657213 | Jessica Yoos | Individual | Clinical Social Worker | Aurora, CO |
| 1811332216 | Amit Bhardwaj | Individual | Psychiatry Physician | Buckley Afb, CO |
| 1811312861 | Margaret Abbott | Individual | Dentist | Aurora, CO |
| 1164969705 | Meagan Vincenz | Individual | Clinical Social Worker | Buckley Afb, CO |
Verify this record
Cross-check NPI 1174507420 against the authoritative CMS record: view 460th Medgrp-Buckley on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
What is the NPI number for 460th Medgrp-Buckley?
Who is the authorized official for 460th Medgrp-Buckley?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-17.