OrganizationActive
21st Medgrp-Peterson
NPI 1942286224 · Military/U.S. Coast Guard Outpatient Clinic/Center · Peterson Afb, CO
Provider details
- NPI number
- 1942286224
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- 21st Medgrp-Peterson
- Authorized official
- Jen Lewandowski, Dha Ubo
Mailing address
559 Vincent St
Peterson Afb, CO 80914-1541
Registry dates
- Enumerated
- 2005-12-19
- 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.