1St SPCL Ops Medgrp-Hurlburt

Primary specialty

Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X

Legal business name

1ST SPCL OPS MEDGRP-HURLBURT

Doing business as

16th Medical Group

Practice address

113 Lielmanis Ave
Hurlburt Field, FL 32544-5613

Phone

(850) 881-2331

NPI assigned

Jan 17, 2006

Organization subpart

Yes

Parent organization

1ST SPCL OPS MEDGRP-HURLBURTAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jen Lewandowski

Title

Dha Financial Manager

Phone

(703) 817-4030

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• 16th Medical Group Doing business as

Tax ID family

16TH Medical Group3 organizations share this tax ID, including this one

Part of

1St SPCL Ops Medgrp-Hurlburt

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Hurlburt Call-in Refills Phcy

  • Military/U.S. Coast Guard Pharmacy
  • Hurlburt Field, FL
  • NPI 1780747063
  NPD tax ID
• Hurlburt Main Phcy

  • Military/U.S. Coast Guard Pharmacy
  • Hurlburt Field, FL
  • NPI 1568569317
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1568442630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 LIELMANIS AVE",
            "city": "HURLBURT FIELD",
            "state": "FL",
            "postal_code": "325445613",
            "telephone_number": "850-881-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 LIELMANIS AVE",
            "city": "HURLBURT FIELD",
            "state": "FL",
            "postal_code": "325445613",
            "telephone_number": "850-881-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST SPCL OPS MEDGRP-HURLBURT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "1ST SPCL OPS MEDGRP-HURLBURT",
        "enumeration_date": "2006-01-17",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "LEWANDOWSKI",
        "authorized_official_first_name": "JEN",
        "authorized_official_title_or_position": "DHA FINANCIAL MANAGER",
        "authorized_official_telephone_number": "703-817-4030"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1101X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332000000X",
            "taxonomy_group": "",
            "desc": "Military/U.S. Coast Guard Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1088788",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "16th Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 1St SPCL Ops Medgrp-Hurlburt (DoD HURLBURT ePhcy)
• Britton Adams, IDMT
• Lorrie Marie Allen, M.S., LMHC
• Govinda Allin, DMD
• Amilia Owens Almosara, IDMT
• Angel D. Alvarez, D.M.D.

• Military/U.S. Coast Guard Outpatient Clinic/Center in Hurlburt Field, FL
• Providers in Hurlburt Field, FL by specialty
• Military/U.S. Coast Guard Outpatient Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.