354th Medgrp-Eielson
354th Medgrp-Eielson is a healthcare organization registered as Military/U.S. Coast Guard Outpatient Clinic/Center in Eielson Afb, AK, holding Type 2 (organization) NPI 1902867229 since 2006. The authorized official on file is Jen Lewandowski, Dha Ubo.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1902867229 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | 354th Medgrp-Eielson |
| Other name | <Unavail> |
| Parent organization | 354th Medgrp-Eielson |
| Practice address | 2630 CENTRAL AVE, SUITE 1M07, Eielson Afb, AK, 99702 |
| Phone | 9073776579 |
| Enumeration date | 2006-03-28 |
| 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 |
|---|---|---|---|---|
| 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 |
|---|---|---|---|
| 02-02399 | Other | AK | NCPDP |
Copy-ready billing details
Provider: 354th Medgrp-Eielson NPI: 1902867229 Taxonomy: 261QM1100X (Military/U.S. Coast Guard Outpatient Clinic/Center) Address: 2630 CENTRAL AVE, SUITE 1M07, Eielson Afb, AK, 99702
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1578545109 | Robert Patterson | Individual | Family Medicine Physician | Eielson Afb, AK |
| 1598732364 | Theresa Lawson | Individual | Counseling Psychologist | Eielson Afb, AK |
| 1275502312 | Jolanda Cook | Individual | Clinical Social Worker | Eielson Afb, AK |
| 1477512853 | Holly Ellenberger | Individual | General Practice Dentistry | Eielson Afb, AK |
| 1316965957 | Karen Medbury | Individual | Clinical Social Worker | Eielson Afb, AK |
| 1851534184 | Angelia Calder | Individual | Independent Duty Medical Technicians | Eielson Afb, AK |
| 1982830287 | Julianne Lujan | Individual | Independent Duty Medical Technicians | Eielson Afb, AK |
| 1902032535 | Jacob Mock | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Eielson Afb, AK |
Verify this record
Cross-check NPI 1902867229 against the authoritative CMS record: view 354th Medgrp-Eielson 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 type of organization is 354th Medgrp-Eielson?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-17.