Organization
1ST SPCL OPS MEDGRP-HURLBURT
Active
Parent organization
1ST SPCL OPS MEDGRP-HURLBURT
Other names
16th Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
1ST SPCL OPS MEDGRP-HURLBURT
Authorized official
JEN LEWANDOWSKI (DHA FINANCIAL MANAGER)
(703) 817-4030
Entity
Organization
Contact information
Practice address
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544-5613
(850) 881-2331
Mailing address
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544-5613
(850) 881-2331
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
—
1088788
NCPDP
FL
Enumeration date
01/17/2006
Last updated
06/12/2025
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