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NPI · 1104805142 · NPPES-sourced

17th Medgrp-Goodfellow

ActiveMilitary/U.S. Coast Guard Outpatient Clinic/Center
NPI Number
1104805142
Type 2 · Organisation
Contact
(325) 654-5974
Primary practice line
Last Updated
Enumerated
Primary practice addressTX · 76908-4901
271 Fort Richardson AveGoodfellow Afb, TX 76908-4901
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About this NPIWhat this record shows.

NPI 1104805142 is registered to 17th Medgrp-Goodfellow, a healthcare organisation classified as "Military/U.S. Coast Guard Outpatient Clinic/Center" and located at 271 Fort Richardson Ave in Goodfellow Afb, Texas. The organisation's authorised official is Jen Lewandowski. The organisation has been enumerated in the NPI registry since 2006.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 4596740TX· Issued by NCPDP

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans 17th Medgrp-Goodfellow accepts. To confirm in-network status with your specific health plan, contact 17th Medgrp-Goodfellow directly at (325) 654-5974.

Frequently asked

Yes. NPI 1104805142 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Military/U.S. Coast Guard Outpatient Clinic/Center is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (325) 654-5974.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. 17th Medgrp-Goodfellow is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy261QM1100X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
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Affiliate placement. We may earn a commission.
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10 records · same addressOther providers at this location.

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Same specialtyOther Military/U.S. Coast Guard Outpatient Clinic/Center providers in Texas.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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