Organization · Type 2 NPI
42d Medgrp-Maxwell
Military/U.S. Coast Guard Outpatient Clinic/Center · Maxwell Afb, AL
Practice location
300 South Twining St, Building 760
Maxwell Afb, AL 36112-6219
Fax (334) 953-1741
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military/U.S. Coast Guard Outpatient Clinic/Center Primary | 261QM1100X | None listed |
| Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center | 261QM1101X | None listed |
| Military/U.S. Coast Guard Pharmacy | 332000000X | None listed |
Military/U.S. Coast Guard Outpatient Clinic/Center: 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 exam…
2 other providers at this address
Other military/u.s. coast guard outpatient clinic/center providers in Maxwell Afb
About NPI 1033196878
42d Medgrp-Maxwell's National Provider Identifier is 1033196878, issued on Dec 22, 2005. The primary taxonomy on file is Military/U.S. Coast Guard Outpatient Clinic/Center (261QM1100X), and the practice location is in Maxwell Afb, AL. The record was last updated on Jun 16, 2025.