NPIMap

Organization Active NPI

36TH Medgrp-Marianas Guam

  • Military/U.S. Coast Guard Outpatient Clinic/Center
National Provider Identifier
1679540900
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
36TH MEDGRP-MARIANAS GUAM
Practice address
Unit 14010
Apo, AP 96543 4010
UM
Phone
(671) 366-6315
NPI assigned
Mar 6, 2006
Last updated
Jun 17, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
36TH MEDGRP-MARIANAS GUAMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Jen Lewandowski
Title
Defense Health Agency (Dha) Financi
Phone
(703) 817-4030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X Primary

Addresses

Primary practice location

Unit 14010
Apo, AP 96543 4010
UM

Mailing address

Unit 14010
Apo, AP 96543 4010
UM
Phone (671) 366-6315

National Provider Directory

National Provider Directory
Tax ID family
36TH Medgrp-Marianas Guam2 organizations share this tax ID, including this one
Part of
36TH Medgrp-Marianas Guam

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1141603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1679540900",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "UNIT 14010",
            "city": "APO",
            "state": "AP",
            "postal_code": "96543 4010",
            "telephone_number": "671-366-6315"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "UNIT 14010",
            "city": "APO",
            "state": "AP",
            "postal_code": "96543 4010",
            "telephone_number": "671-366-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "36TH MEDGRP-MARIANAS GUAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "36TH MEDGRP-MARIANAS GUAM",
        "enumeration_date": "2006-03-06",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "LEWANDOWSKI",
        "authorized_official_first_name": "JEN",
        "authorized_official_title_or_position": "DEFENSE HEALTH AGENCY (DHA) FINANCI",
        "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.