OrganizationActive
460th Medgrp-Buckley
NPI 1174507420 · Military/U.S. Coast Guard Outpatient Clinic/Center · Aurora, CO
Provider details
- NPI number
- 1174507420
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- 460th Medgrp-Buckley
- Organization subpart
- Yes
- Authorized official
- Jen Lewandowski, Dha Ubo(703) 817-4030
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Military/U.S. Coast Guard Pharmacy332000000X
Suppliers
Profile Score
Detailed profile(95/100 index)
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
2 documented practice locations
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
275 S Aspen St Stop 89
Aurora, CO 80011-9562
Phone: (720) 277-9493
Approximate (ZIP-level) locationGet directions
Mailing address
275 S Aspen St Stop 89
Aurora, CO 80011-9562
Other names (DBA / former)
- Doing business as
- 460th Medical Group
- Doing business as
- 460th Medical Group
Additional practice locations (1)
- 275 S Aspen StStop 89Aurora, CO 80011-9562Phone: (720) 847-9288Fax: (720) 847-9294
Registry dates
- Enumerated
- 2005-11-30
- 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.