National Provider Identifier Database

673D MEDGRP JBER ELMNDRF RICH
Military Hospital

A health care facility operated by the Department of Defense.


Contact Information

673D MEDGRP-JBER ELMNDRF-RICH
5955 ZEAMER AVE
ELMENDORF AFB, AK99506-3702
Phone: 907-580-3006
Fax:
Website:
Specialty Taxonomy Code
* Military Hospital 286500000X
Military and U.S. Coast Guard Ambulatory Procedure 261QM1101X
Military/U.S. Coast Guard Outpatient 261QM1100X
Military/U.S. Coast Guard Pharmacy 332000000X

* Indicates primary specialty

NPI Profile & details for 673D MEDGRP-JBER ELMNDRF-RICH

NPI Number 1568446524
Legal business name
LBN
673D MEDGRP-JBER ELMNDRF-RICH
Authorized official JEN LEWANDOWSKI - (AIR FORCE UBO ANALYST)
Entity Organization
Organization subpart Yes
Enumeration date 12/02/2005
Last updated 06/16/2025 - About 12 months ago
Sole proprietor1 Not specified
Identifiers
  • AK Other: 02-02402 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.

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