Organization
2D MEDGRP-BARKSDALE
Active
Parent organization
2D MEDGRP-BARKSDALE
Other names
Barksdale AFB MTF
Organization subpart
Yes
Provider details
NPI number
Legal business name
2D MEDGRP-BARKSDALE
Authorized official
JEN LEWANDOWSKI (DHA FINANCIAL MANAGER)
(703) 817-4030
Entity
Organization
Contact information
Practice address
243 CURTISS RD, SUITE 100, BARKSDALE AFB, LA 71110-2425
(318) 456-6055
(318) 456-6065
Mailing address
243 CURTISS RD, SUITE 100, BARKSDALE AFB, LA 71110-2425
(318) 456-6055
(318) 456-6065
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
261QM1101X
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center
—
—
332000000X
Military/U.S. Coast Guard Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1929299
NCPDP
LA
Enumeration date
02/15/2006
Last updated
06/12/2025
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