OrganizationActive
28th Medgrp-Ellsworth
NPI 1023091642 · Military/U.S. Coast Guard Outpatient Clinic/Center · Ellsworth Afb, SD
Provider details
- NPI number
- 1023091642
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- 28th Medgrp-Ellsworth
- Organization subpart
- Yes
- Authorized official
- Jen Lewandowski, Dha Ubo(703) 817-4030
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Military/U.S. Coast Guard Pharmacy332000000X
Suppliers
Practice location
2900 Doolittle Dr
Ellsworth Afb, SD 57706-4821
Phone: (605) 385-3311
Fax: (605) 385-3234
Approximate (ZIP-level) locationGet directions
Mailing address
2900 Doolittle Dr
Ellsworth Afb, SD 57706-4821
Other names (DBA / former)
- Other name
- Ellsworth Afb Mtf
Registry dates
- Enumerated
- 2005-11-29
- Last updated
- 2025-06-17
- Certified
- 2025-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.