27th Special Ops Medgrp-Cannon
27th Special Ops Medgrp-Cannon is a Military/U.S. Coast Guard Outpatient Clinic/Center in Cannon AFB, New Mexico. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 3
Practice location Address checks out
208 W Casablanca Ave 27 Mdss SgsrCannon AFB, NM 88103-5009
Phone: (505) 784-4023
Fax: (505) 784-7749
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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 | 1285606384 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | 27th Special Ops Medgrp-Cannon |
| Authorized official | Jen Lewandowski — Dha Ubo · (703) 817-4030 |
| NPI enumerated | February 2, 2006 |
| Last updated in NPPES | June 17, 2025 |
| Certification date | June 17, 2025 |
| Mailing address | 208 W Casablanca Ave, 27 Mdss Sgsr, Cannon Afb, NM 88103-5009 |