MAXWELL AFB AMBULATORY HEALTH CARE CENTER is a military/u.s. coast guard outpatient clinic center in Maxwell Afb, AL. The provider is 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. MAXWELL AFB AMBULATORY HEALTH CARE CENTER NPI is 1396738944. The provider is registered as an organization entity type.
The provider's business location address is:
300 S. TWINING STREET
BLDG 760, FAMILY PRACTICE - YELLOW TEAM
MAXWELL AFB, AL
ZIP 36112
Phone: (334) 953-2234
The provider's authorized official is Tomeka Danielle Russell .
The authorized official title is Family Practice Physician and has the following contact phone number (334) 953-1307.
The enumeration date for this NPI number is 8/30/2005 and was last updated on 8/22/2020.