OrganizationActive
509th Medgrp-Whiteman
NPI 1033196480 · Military/U.S. Coast Guard Outpatient Clinic/Center · Whiteman Afb, MO
Provider details
- NPI number
- 1033196480
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- 509th Medgrp-Whiteman
- Organization subpart
- Yes
- Authorized official
- Jen Lewandowski, Dha Ubo(703) 817-4030
Specialties & taxonomies
Ambulatory Health Care Facilities
- Military/U.S. Coast Guard Pharmacy332000000X
Suppliers
Ambulatory Health Care Facilities
Practice location
331 Sijan Ave
509 Mdss Sgsr
Whiteman Afb, MO 65305-1269
Phone: (660) 687-1838
Fax: (660) 687-5121
Approximate (ZIP-level) locationGet directions
Mailing address
331 Sijan Ave
Whiteman Afb, MO 65305-1269
Other names (DBA / former)
- Other name
- Whiteman Afb Mtf
Registry dates
- Enumerated
- 2005-12-28
- 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.