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Contact Information

MAXWELL AFB AMBULATORY HEALTH CARE CENTER
300 S. TWINING STREET
BLDG 760, FAMILY PRACTICE - YELLOW TEAM
MAXWELL AFB, AL36112
 Phone: 334-953-2234
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Military/U.S. Coast Guard Outpatient

261QM1100X
Indicates primary specialty

NPI Profile & details for MAXWELL AFB AMBULATORY HEALTH CARE CENTER

NPI Number 1396738944
LBN Legal business name MAXWELL AFB AMBULATORY HEALTH CARE CENTER
Authorized official TOMEKA RUSSELL - (FAMILY PRACTICE PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 08/30/2005
Last updated 08/22/2020 - About 6 years ago
Identifiers
AL License # 25934
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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