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

20th Medgrp-Shaw

Organization Military/U.S. Coast Guard Outpatient Clinic/Center · NPI 1336112440

20th Medgrp-Shaw is a Military/U.S. Coast Guard Outpatient Clinic/Center in Shaw AFB, South Carolina. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3

Practice location Address checks out

431 Meadowlark St
Shaw AFB, SC 29152-5019
Phone: (803) 895-6526
Fax: (803) 895-6419
Show map & directions

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 number1336112440
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organization20th Medgrp-Shaw
Authorized official Jen Lewandowski — Dha Ubo · (703) 817-4030
NPI enumeratedFebruary 9, 2006
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025
Mailing address431 Meadowlark St, Shaw Afb, SC 29152-5019