National Provider Identifier Database

20TH MEDGRP SHAW
Military/U.S. Coast Guard Outpatient

The Defense Health Program or U.S. Coast Guard funded ?fixed? facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A ?fixed? facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the ?fixed? facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.


Contact Information

20TH MEDGRP-SHAW
431 MEADOWLARK ST
SHAW AFB, SC29152-5019
Phone: 803-895-6526
Fax: 803-895-6419
Website:
Specialty Taxonomy Code
* Military/U.S. Coast Guard Outpatient 261QM1100X
Military and U.S. Coast Guard Ambulatory Procedure 261QM1101X
Military/U.S. Coast Guard Pharmacy 332000000X

* Indicates primary specialty

NPI Profile & details for 20TH MEDGRP-SHAW

NPI Number 1336112440
Legal business name
LBN
20TH MEDGRP-SHAW
Authorized official JEN LEWANDOWSKI - (DHA UBO)
Entity Organization
Organization subpart Yes
Enumeration date 02/09/2006
Last updated 06/17/2025 - About 12 months ago
Sole proprietor1 Not specified
Identifiers
  • SC Other: 4222903 NCPDP

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for 20TH MEDGRP-SHAW

There are currently no reviews for 20TH MEDGRP-SHAW


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