49TH Medgrp-Holloman

Primary specialty

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

Legal business name

49TH MEDGRP-HOLLOMAN

Practice address

280 1St St
SGSR
Holloman AFB, NM 88330-8273

Phone

(505) 572-5744

Fax

(505) 572-0549

NPI assigned

Feb 9, 2006

Last updated

Jul 3, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

49TH MEDGRP-HOLLOMANAs 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 Ubo

Phone

(703) 817-4030

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Holloman AFB MTF Other name

Tax ID family

49TH Medgrp-Holloman2 organizations share this tax ID, including this one

Part of

49TH Medgrp-Holloman

Other organizations with this tax ID 1

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

• 49TH Medgrp-Holloman

  dba DoD HOLLOMAN ePhcy

  • Military/U.S. Coast Guard Pharmacy
  • Holloman AFB, NM
  • NPI 1356755185
  NPD tax ID

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1952374910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 1ST ST",
            "address_2": "SGSR",
            "city": "HOLLOMAN AFB",
            "state": "NM",
            "postal_code": "883308273",
            "telephone_number": "505-572-5744",
            "fax_number": "505-572-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 1ST ST",
            "address_2": "SGSR",
            "city": "HOLLOMAN AFB",
            "state": "NM",
            "postal_code": "883308273",
            "telephone_number": "505-572-5744",
            "fax_number": "505-572-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "49TH MEDGRP-HOLLOMAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "49TH MEDGRP-HOLLOMAN",
        "enumeration_date": "2006-02-09",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "LEWANDOWSKI",
        "authorized_official_first_name": "JEN",
        "authorized_official_title_or_position": "DHA UBO",
        "authorized_official_telephone_number": "703-817-4030"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1101X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332000000X",
            "taxonomy_group": "",
            "desc": "Military/U.S. Coast Guard Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3210010",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holloman AFB MTF",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• 49TH Medgrp-Holloman (DoD HOLLOMAN ePhcy)
• Parker Lewis Aldredge, DMD
• Steve Lawrence Alger, D.D.S.
• Adam James Allen, PA-C
• Samuel Brefo Ankamah, LMSW
• Lorinda R. Arella, PH.D

• Military/U.S. Coast Guard Outpatient Clinic/Center in Holloman AFB, NM
• Providers in Holloman AFB, NM by specialty
• Military/U.S. Coast Guard Outpatient Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.