OrganizationActive
49th Medgrp-Holloman
NPI 1952374910 · Military/U.S. Coast Guard Outpatient Clinic/Center · Holloman Afb, NM
Provider details
- NPI number
- 1952374910
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- 49th Medgrp-Holloman
- Organization subpart
- Yes
- Authorized official
- Jen Lewandowski, Dha Ubo(703) 817-4030
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Military/U.S. Coast Guard Pharmacy332000000X
Suppliers
Practice location
280 1st St
Sgsr
Holloman Afb, NM 88330-8273
Phone: (505) 572-5744
Fax: (505) 572-0549
Approximate (ZIP-level) locationGet directions
Mailing address
280 1st St
Holloman Afb, NM 88330-8273
Other names (DBA / former)
- Other name
- Holloman Afb Mtf
Registry dates
- Enumerated
- 2006-02-09
- Last updated
- 2025-07-03
- Certified
- 2025-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.