Provider Demographics
NPI:1154399293
Name:8TH MEDGRP-KUNSAN
Entity type:Organization
Organization Name:8TH MEDGRP-KUNSAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DHA FINANCIAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWANDOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-817-4030
Mailing Address - Street 1:8TH MEDICAL GROUP SGSG
Mailing Address - Street 2:UNIT # 2022
Mailing Address - City:APO
Mailing Address - State:1
Mailing Address - Zip Code:AP
Mailing Address - Country:KR
Mailing Address - Phone:0118263-470-0385
Mailing Address - Fax:5732
Practice Address - Street 1:8TH MEDICAL GROUP SGSBR
Practice Address - Street 2:UNIT # 2022
Practice Address - City:APO
Practice Address - State:1
Practice Address - Zip Code:AP
Practice Address - Country:KR
Practice Address - Phone:0118263-470-0385
Practice Address - Fax:5732
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:8TH MEDGRP-KUNSAN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-03-14
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1100XAmbulatory Health Care FacilitiesClinic/CenterMilitary/U.S. Coast Guard Outpatient