Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

15th Medgrp Jbhp-Hickam

Organization Military/U.S. Coast Guard Outpatient Clinic/Center · NPI 1588638167

15th Medgrp Jbhp-Hickam is a Military/U.S. Coast Guard Outpatient Clinic/Center in Honolulu, Hawaii. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3
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Practice location Address checks out

15TH Medical Group Sgsbr 755 Scott Cir
Honolulu, HI 96853-5399
Phone: (808) 449-2295
Fax: (808) 449-2297
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Military/U.S. Coast Guard Outpatient Clinic/Center (primary) Taxonomy 261QM1100X
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center Taxonomy 261QM1101X
Military/U.S. Coast Guard Pharmacy Taxonomy 332000000X

Record details

NPI number1588638167
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organization15th Medgrp Jbhp-Hickam
Authorized official Jen Lewandowski — Defense Health Agency (Dha) Financi · (703) 817-4030
Other names 15th Medical Group
NPI enumeratedFebruary 13, 2006
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025
Mailing address15th Medical Group Sgsbr, 755 Scott Circle, Honolulu, HI 96853-5399

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