OrganizationActive
1st Spcl Ops Medgrp-Hurlburt
NPI 1568442630 · Military/U.S. Coast Guard Outpatient Clinic/Center · Hurlburt Field, FL
Provider details
- NPI number
- 1568442630
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- 1st Spcl Ops Medgrp-Hurlburt
- Organization subpart
- Yes
- Authorized official
- Jen Lewandowski, Dha Financial Manager(703) 817-4030
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Military/U.S. Coast Guard Pharmacy332000000X
Suppliers
Profile Score
Detailed profile(91/100 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
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
113 Lielmanis Ave
Hurlburt Field, FL 32544-5613
Phone: (850) 881-2331
Approximate (ZIP-level) locationGet directions
Mailing address
113 Lielmanis Ave
Hurlburt Field, FL 32544-5613
Other names (DBA / former)
- Doing business as
- 16th Medical Group
Registry dates
- Enumerated
- 2006-01-17
- Last updated
- 2025-06-12
- Certified
- 2025-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.