21st Medgrp-Peterson
21st Medgrp-Peterson is a Military/U.S. Coast Guard Outpatient Clinic/Center in Peterson AFB, Colorado. Registered with an NPI since 2005.
- In the registry since
- 2005
- Specialties on file
- 3
Practice location Address checks out
559 Vincent StPeterson AFB, CO 80914-1541
Phone: (719) 556-1250
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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 number | 1942286224 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | 21st Medgrp-Peterson |
| Authorized official | Jen Lewandowski — Dha Ubo · (703) 817-4030 |
| Other names | Peterson Afb Mtf |
| NPI enumerated | December 19, 2005 |
| Last updated in NPPES | June 17, 2025 |
| Certification date | June 17, 2025 |
| Mailing address | 559 Vincent St, Peterson Afb, CO 80914-1541 |