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Contact Information

20TH MEDGRP-SHAW
431 MEADOWLARK ST
SHAW AFB, SC29152-5019
 Phone: 803-895-6526
 Fax: 803-895-6419
 Website:
Indicates primary specialty

NPI Profile & details for 20TH MEDGRP-SHAW

NPI # 1336112440
LBN Legal business name 20TH MEDGRP-SHAW
Authorized official JEN LEWANDOWSKI - (DHA UBO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/09/2006
Last updated 06/17/2025 - About 12 months ago
Identifiers
SC Other 4222903 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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