628th Medgrp-Charleston
NPI 1114905775 · Military/U.S. Coast Guard Outpatient Clinic/Center · Charleston Afb, SC
628th Medgrp-Charleston is a Military/U.S. Coast Guard Outpatient Clinic/Center organization in Charleston Afb, SC (NPI 1114905775).
Provider details
- NPI number
- 1114905775
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- 628th Medgrp-Charleston
- 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
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-01-04
- Last updated
- 2025-06-17
- Certified
- 2025-06-17
Frequently asked questions
- What is 628th Medgrp-Charleston's NPI number?
- 628th Medgrp-Charleston's National Provider Identifier (NPI) is 1114905775, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 628th Medgrp-Charleston?
- 628th Medgrp-Charleston is classified in the NPPES registry as Military/U.S. Coast Guard Outpatient Clinic/Center (Ambulatory Health Care Facilities).
- Where is 628th Medgrp-Charleston located?
- 628th Medgrp-Charleston's practice location on file with NPPES is 204 W Hill Blvd, Charleston Afb, SC 29404-4704.
- What is 628th Medgrp-Charleston's phone number?
- The practice phone number listed in the NPPES registry for 628th Medgrp-Charleston is (843) 963-6884.
- Who is the authorized official for 628th Medgrp-Charleston?
- The authorized official listed on 628th Medgrp-Charleston's NPPES record is Jen Lewandowski, Dha Ubo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 628th Medgrp-Charleston's NPI active?
- Yes — 628th Medgrp-Charleston's NPI (1114905775) is active in the NPPES registry as of the last update on 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.