<Unavail>

LBN: 55Th Medgrp-Offutt
<Unavail> is an health care organization with primary practice located at 2501 Capehart Rd Ste 105, Offutt A F B NE 68113-1043. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Military/U.S. Coast Guard Outpatient, Ambulatory Health Care Facilities / Military and U.S. Coast Guard Ambulatory Procedure, Hospitals / Military Hospital, Suppliers / Military/U.S. Coast Guard Pharmacy. Hospitals / Military Hospital is the primary health care specialty. 55Th Medgrp-Offutt can be contacted via phone (402) 294-9215, or through Lewandowski, Jen via phone (703) 817-4030.

Contact Information

Primary practice address
2501 Capehart Rd Ste 105 Offutt A F B NE 68113-1043
Phone: (402) 294-9215
Fax: (402) 294-7463
Website:
Map and Directions
Authorized official contact:
Name: Lewandowski, Jen
Phone: (703) 817-4030

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Military/U.S. Coast Guard Outpatient 261QM1100X
Ambulatory Health Care Facilities / Military and U.S. Coast Guard Ambulatory Procedure 261QM1101X
Hospitals / Military Hospital 286500000X
Suppliers / Military/U.S. Coast Guard Pharmacy 332000000X

Profile Details

NPI number 1316919160
LBN Legal business name 55Th Medgrp-Offutt
DBA Doing business as <Unavail>
Authorized official Lewandowski, Jen
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 6th, 2006
Last updated Jun 17th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1316919160 NPPES
Nebraska Other 2815706 NCPDP

Popular Providers