28th Medgrp-Ellsworth
28th Medgrp-Ellsworth is a Military/U.S. Coast Guard Outpatient Clinic/Center in Ellsworth AFB, South Dakota. Registered with an NPI since 2005.
- In the registry since
- 2005
- Specialties on file
- 3
Practice location Address checks out
2900 Doolittle DrEllsworth AFB, SD 57706-4821
Phone: (605) 385-3311
Fax: (605) 385-3234
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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 | 1023091642 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | 28th Medgrp-Ellsworth |
| Authorized official | Jen Lewandowski — Dha Ubo · (703) 817-4030 |
| Other names | Ellsworth Afb Mtf |
| NPI enumerated | November 29, 2005 |
| Last updated in NPPES | June 17, 2025 |
| Certification date | June 17, 2025 |
| Mailing address | 2900 Doolittle Dr, Ellsworth Afb, SD 57706-4821 |