NPI Database
Lookup NPI Numbers from the NPI Registry

Contact Information

628TH MEDGRP-CHARLESTON
204 W HILL BLVD
BLDG 364
JOINT BASE CHARLESTON, SC29404-4704
 Phone: 843-963-6884
 Fax: 843-963-6538
 Website:
Indicates primary specialty

NPI Profile & details for 628TH MEDGRP-CHARLESTON

NPI Number 1114905775
LBN Legal business name 628TH MEDGRP-CHARLESTON
Authorized official JEN LEWANDOWSKI - (DHA UBO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/04/2006
Last updated 06/17/2025 - About 12 months ago
Identifiers
SC Other 42-22181 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.

Reviews for 628TH MEDGRP-CHARLESTON

Thanks - Your review has been submitted! Please note that if we find that this review has violated our terms or is simply deemed unacceptable, we will remove it without notice.

There are currently no reviews for 628TH MEDGRP-CHARLESTON
Be the first to post a comment or review.


Read our reviews / comments about this provider to help you decide if they are right for you. Share your experience by posting a comment or review about this provider to help others decide which is right for them.

Nearby AHC Facilities
PARK CIRCLE COUNSELING
6296 RIVERS AVENUE
NORTH CHARLESTON, SC
AMERICAN CURRENT CARE P.A.
8780 RIVERS AVENUE
NORTH CHARLESTON, SC
TRIDENT MEDICAL CENTER, LLC
5249 EMMETT I. DAVIS JR. AVENUE
NORTH CHARLESTON, SC
FETTER HEALTH CARE NETWORK, INC.
51 NASSAU ST
CHARLESTON, SC
RIVER LANDING DENTISTRY LLC
145 RIVER LANDING DRIVE
DANIEL ISLAND, SC
PHC REHAB, INC.
418 B FOLLY ROAD
CHARLESTON, SC
ELLIS OAKS DENTAL CENTER LLC
776 DANIEL ELLIS DRIVE
CHARLESTON, SC
THE SOUTHEASTERN SPINE INSTITUTE AMBULATORY SURGERY CENTER, LLC
1625 HOSPITAL DRIVE
MOUNT PLEASANT, SC
CJS MEDICAL SERVICES, PC
1455 HAGAN AVENUE
HUGER, SC
FETTER HEALTH CARE NETWORK, INC.
5065 RACKITY HALL RD
WADMALAW ISLAND, SC

  View all AHC Facilities
v2.403