<Unavail>

LBN: 59Th Mdw-Whasc-Lackland
<Unavail> is an health care organization with primary practice located at 2200 Bergquist Dr Suite 1 Adbs, Lackland A F B TX 78236-9907. The organization recently has 3 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, Suppliers / Military/U.S. Coast Guard Pharmacy. Ambulatory Health Care Facilities / Military and U.S. Coast Guard Ambulatory Procedure is the primary health care specialty. 59Th Mdw-Whasc-Lackland can be contacted via phone (210) 292-7575, or through Lewandowski, Jen via phone (703) 817-4030.

Contact Information

Primary practice address
2200 Bergquist Dr Suite 1 Adbs Lackland A F B TX 78236-9907
Phone: (210) 292-7575
Fax: (210) 292-2592
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
Suppliers / Military/U.S. Coast Guard Pharmacy 332000000X

Profile Details

NPI number 1275511776
LBN Legal business name 59Th Mdw-Whasc-Lackland
DBA Doing business as <Unavail>
Authorized official Lewandowski, Jen
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275511776 NPPES
Texas Other HH6032 BLUE CROSS BLUE SHIELD
Texas Other 4596776 BLUE CROSS BLUE SHIELD
Texas MEDICAID 021757201 BLUE CROSS BLUE SHIELD

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