OrganizationActive
20th Medgrp-Shaw
NPI 1336112440 · Military/U.S. Coast Guard Outpatient Clinic/Center · Shaw Afb, SC
Provider details
- NPI number
- 1336112440
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- 20th Medgrp-Shaw
- Authorized official
- Jen Lewandowski, Dha Ubo
Practice location
431 Meadowlark St
Shaw Afb, SC 29152-5019
Phone: (803) 895-6526
Fax: (803) 895-6419
Mailing address
431 Meadowlark St
Shaw Afb, SC 29152-5019
Registry dates
- Enumerated
- 2006-02-09
- Last updated
- 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.