Provider Demographics
NPI:1194704916
Name:18TH MEDGRP-KADENA
Entity type:Organization
Organization Name:18TH MEDGRP-KADENA
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:UNIT 5142
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:AP
Mailing Address - Country:JP
Mailing Address - Phone:0118-161-1730
Mailing Address - Fax:4188
Practice Address - Street 1:UNIT 5142
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:AP
Practice Address - Country:JP
Practice Address - Phone:0118-161-1730
Practice Address - Fax:4188
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:18TH MEDGRP-KADENA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-01-11
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes286500000XHospitalsMilitary Hospital