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

377th Medgrp-Kirtland

Organization Military/U.S. Coast Guard Outpatient Clinic/Center · NPI 1912982810

377th Medgrp-Kirtland is a Military/U.S. Coast Guard Outpatient Clinic/Center in Kirtland AFB, New Mexico. Registered with an NPI since 2005.

In the registry since
2005

Practice location Address checks out

2050A Second St SE
Kirtland AFB, NM 87117-5524
Phone: (505) 846-3605
Fax: (505) 846-3594
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

Record details

NPI number1912982810
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organization377th Medgrp-Kirtland
Authorized official Jen Lewandowski — Dha Ubo · (703) 817-4030
NPI enumeratedDecember 13, 2005
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025
Mailing address2050a Second St Se, Kirtland Afb, NM 87117-5524