47TH MEDGRP-LAUGHLIN
NPI 1053399188
Clinic/Center - Military/U.S. Coast Guard Outpatient in Laughlin Afb, TX
NPI Status: Active since January 09, 2006
Contact Information
590 MITCHELL BLVD
LAUGHLIN AFB, TX
ZIP 78843
Phone: (830) 398-6320
Fax: (830) 298-6439
- Organization
- Clinic/Center
- Military/U.S. Coast Guard Outpatient
About 47TH MEDGRP-LAUGHLIN
This page provides the complete NPI Profile along with additional information for 47th Medgrp-laughlin, a provider established in Laughlin Afb, Texas operating as a Clinic/center, focusing in military/u.s. coast guard outpatient . The healthcare provider is registered in the NPI registry with number 1053399188 assigned on January 2006. The practitioner's primary taxonomy code is 261QM1100X. The provider is registered as an organization and their NPI record was last updated June 2025. The authorized official of this NPI record is Jen Lewandowski (Dha Ubo)
- NPI
- 1053399188
- Provider Name
- 47TH MEDGRP-LAUGHLIN
- Entity Type
- Organization
- Location Address
- 590 MITCHELL BLVD LAUGHLIN AFB, TX 78843
- Location Phone
- (830) 398-6320
- Location Fax
- (830) 298-6439
- Mailing Address
- 590 MITCHELL BLVD 47 MDSS SGSRR LAUGHLIN AFB, TX 78843
- Mailing Phone
- (830) 398-6320
- Mailing Fax
- (830) 298-6439
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-09-2006
- Last Update Date
- 06-17-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Military/U.S. Coast Guard Outpatient
- Taxonomy Code
- 261QM1100X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- The Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM1101X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 332000000X | Suppliers | Military/U.S. Coast Guard Pharmacy |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4510536 | OTHER (01) | TX | NCPDP |
| 4510536 | OTHER (01) | TX | PHARMACY NABP |
Reviews for 47TH MEDGRP-LAUGHLIN
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 5 | 3 | 3 | 9 | 9 | 1 | 8 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 10 | 3 | 6 | 9 | 18 | 1 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 0 + 3 + 6 + 9 + 1 + 8 + 1 + 1 + 6 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1053399188 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1265404552 | MELINDA DAWN SAMS PHARMD Individual | Pharmacist | 590 MITCHELL BLVD 47 MDG PHARMACY, BLDG 351 LAUGHLIN AFB, TX 78843 (830) 298-6451 |
| 1992727077 | MR. ROBERT THEODORE POHLER RPH Individual | Pharmacist | 590 MITCHELL BLVD 47 MDG/SGSAP LAUGHLIN AFB, TX 78843 (830) 298-6451 |
| 1043540180 | TIFFANY R SMITH-HURT L.C.S.W. Individual | Social Worker (Clinical) | 590 MITCHELL BLVD DEL RIO, TX 78843 (830) 298-6231 |
| 1730484809 | MRS. JENNIFER HOFMANN RD Individual | Dietitian, Registered | 590 MITCHELL BLVD LAUGHLIN AFB, TX 78843 (830) 298-6464 |
| 1679672893 | 47TH MEDICAL GROUP SGSL Organization | Military/U.S. Coast Guard Pharmacy | 590 MITCHELL BLVD BLDG 375 LAUGHLIN AFB, TX 78843 (830) 298-6451 |
| 1205236544 | DR. LUKE CZER D.D.S. Individual | Dentist | 590 MITCHELL BLVD LAUGHLIN AFB, TX 78843 (830) 298-6531 |
| 1437167244 | MICHEAL H. BETO D.D.S. Individual | Dentist (General Practice) | 590 MITCHELL BLVD LAUGHLIN AFB, TX 78843 (830) 298-6332 |
| 1497489967 | ALECIA LAPP PSY.D. Individual | Psychologist (Clinical) | 590 MITCHELL BLVD LAUGHLIN AFB, TX 78843 (830) 298-6422 |
| 1114506912 | HANNAH LEAH CARSON MD Individual | Family Medicine | 590 MITCHELL BLVD LAUGHLIN AFB, TX 78843 (830) 298-6333 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053399188, enumerated in the NPI registry as an "organization" on January 09, 2006
The provider is located at 590 Mitchell Blvd Laughlin Afb, Tx 78843 and the phone number is (830) 398-6320
This medical organization specializes in Clinic/Center with taxonomy code 261QM1100X with a focus in Military/U.S. Coast Guard Outpatient
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on January 09, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.