OrganizationActive
42d Medgrp-Maxwell
NPI 1033196878 · Military/U.S. Coast Guard Outpatient Clinic/Center · Maxwell Afb, AL
Provider details
- NPI number
- 1033196878
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- 42d Medgrp-Maxwell
- Organization subpart
- Yes
- Authorized official
- Jen Lewandowski, Defense Health Agency (dha) Financi(703) 817-4030
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Military/U.S. Coast Guard Pharmacy332000000X
Suppliers
Practice location
300 South Twining St
Building 760
Maxwell Afb, AL 36112-6219
Phone: (334) 953-4943
Fax: (334) 953-1741
Approximate (ZIP-level) locationGet directions
Mailing address
300 South Twining St
Maxwell Afb, AL 36112-6219
Other names (DBA / former)
- Other name
- Maxwell Afb Mtf
Registry dates
- Enumerated
- 2005-12-22
- Last updated
- 2025-06-16
- Certified
- 2025-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.