15TH MEDGRP JBHP-HICKAM

HONOLULU, HI
NPI1588638167
Doing Business As15TH MEDICAL GROUP
Entity TypeOrganization
Authorized ContactJEN LEWANDOWSKI
Defense Health Agency (Dha) Financi
703-817-4030
Organization Subpart ?Yes
Primary Taxonomy261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient
Additional Taxonomies261QM1101X Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure
332000000X MilitaryU.S. Coast Guard Pharmacy
Enumeration Date2006-02-13
Last Update Date2025-06-17
Business Address
15TH MEDGRP JBHP-HICKAM
15TH MEDICAL GROUP SGSBR 755 SCOTT CIRCLE
HONOLULU, HI 96853-5399
Phone number: 808-449-2295
Mailing Address
15TH MEDGRP JBHP-HICKAM
15TH MEDICAL GROUP SGSBR 755 SCOTT CIRCLE
HONOLULU, HI 96853-5399
Phone number: 808-449-2295