633D MEDGRP-JB LANGLEY

Military and U.S. Coast Guard Ambulatory Procedure

That part of a ?fixed? (non-temporary, non-deployed) DoD or Coast Guard entity furnishing surgical procedures requiring medically supervised recovery. Similar to a civilian ambulatory surgical center. May be in shared resources with a DoD or Coast Guard Clinic or a DoD Hospital. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial ?take home? pharmaceuticals.

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Contact Information

633D MEDGRP-JB LANGLEY

77 NEALY AVE
LANGLEY AFB, VA 23665-2040

Phone: 757-764-6807
Fax: 757-764-0821
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Military and U.S. Coast Guard Ambulatory Procedure	261QM1101X

Indicates primary specialty

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NPI Profile & details for 633D MEDGRP-JB LANGLEY

NPI Number 1609859891

LBN Legal business name 633D MEDGRP-JB LANGLEY

Authorized official JEN LEWANDOWSKI - (DHA FINANCIAL MANAGER)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 11/22/2005

Last updated 06/17/2025 - About 12 months ago

Identifiers

VA	Other	000686	BCBS
VA	Other	4834722	NCPDP

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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