OrganizationActive
377th Medgrp-Kirtland
NPI 1912982810 · Military/U.S. Coast Guard Outpatient Clinic/Center · Kirtland Afb, NM
Provider details
- NPI number
- 1912982810
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- 377th Medgrp-Kirtland
- Authorized official
- Jen Lewandowski, Dha Ubo
Practice location
2050a Second St Se
Kirtland Afb, NM 87117-5524
Phone: (505) 846-3605
Fax: (505) 846-3594
Mailing address
2050a Second St Se
Kirtland Afb, NM 87117-5524
Registry dates
- Enumerated
- 2005-12-13
- 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.