42d Medgrp-Maxwell
NPI #1033196878 in Maxwell Afb, Alabama
Provider Information
- NPI Number
- 1033196878
- Entity Type
- Organization
- Organization Name
- 42d Medgrp-Maxwell
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- 42D MEDGRP-MAXWELL
- Primary Specialty
- Clinic/Center - Military/U.S. Coast Guard Outpatient
- Enumeration Date
- Dec 22, 2005
- Last Updated
- Jun 16, 2025
Practice Location
- Address
- 300 SOUTH TWINING ST
- Address 2
- BUILDING 760
- City
- Maxwell Afb
- State
- Alabama
- ZIP Code
- 36112-6219
- Phone
- (334) 953-4943
Authorized Official
- Name
- JEN LEWANDOWSKI
- Title
- DEFENSE HEALTH AGENCY (DHA) FINANCI
- Phone
- (703) 817-4030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Military and U.S. Coast Guard Ambulatory Procedure — Military and U.S. Coast Guard Ambulatory Procedure |
| Military/U.S. Coast Guard Pharmacy |
| Clinic/Center - Military/U.S. Coast Guard Outpatient — Military/U.S. Coast Guard Outpatient |
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