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355TH MEDGRP-DAVIS-MONTHAN
NPI 1245210384
Clinic/Center - Military/U.S. Coast Guard Outpatient in Tucson, AZ

Active since January 17, 2006
4175 S ALAMO AVE, TUCSON, AZ 85707(520) 228-1506(520) 228-0183 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2025, Jun 12, 2025 (2 updates tracked since 2025).

About 355th Medgrp-davis-monthan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

355TH MEDGRP-DAVIS-MONTHAN (NPI 1245210384) is a healthcare organization registered as a military/u.s. coast guard outpatient in Tucson, Arizona and active in the NPI registry since January 2006. The organization lists Jen Lewandowski, Air Force Uniform Business Office, as its authorized official.

NPPES Registry Identity

NPI1245210384
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business Name355TH MEDGRP-DAVIS-MONTHAN
Location Address4175 S ALAMO AVETucson, AZ 85707-6097
Mailing Address4175 S Alamo AveTucson, AZ 85707-6097 · (520) 228-1506 · Fax (520) 228-0183
Phone(520) 228-1506
Fax(520) 228-0183
Organization SubpartYes
Authorized OfficialJen LewandowskiAir Force Uniform Business Office · (703) 817-4030
Enumeration DateJanuary 17, 2006
Last NPPES UpdateJune 16, 20252 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
✔ NPI 1245210384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Military/U.S. Coast Guard OutpatientAmbulatory Health Care Facilities
Taxonomy Code261QM1100X
Definition
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.
Also ListedClinic/Center · Military and U.S. Coast Guard Ambulatory ProcedureTaxonomy 261QM1101X
Also ListedMilitary/U.S. Coast Guard PharmacyTaxonomy 332000000X
4175 S ALAMO AVE, Tucson, AZ 85707
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Other Identifiers 1

Other0322103AZ · Ncpdp

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JACOB MACK DMD
Dentist (General Practice)
4175 S ALAMO AVE
DAVIS MONTHAN AFB, AZ 85707
Pima County (719) 333-5192
NANCY CHRISTY N.P.
Nurse Practitioner (Women's Health)
4175 S ALAMO AVE, BUILDING 400
DM AFB, AZ 85707
Pima County (520) 228-2665
DR. ELIZABETH ROSE PHILLIPS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4175 S ALAMO AVE
TUCSON, AZ 85707
Pima County (520) 228-4357
MICHELLE MCLOUGHLIN LCSW
Social Worker (Clinical)
4175 S ALAMO AVE
TUCSON, AZ 85707
Pima County (520) 228-2104
DR. ALLAN CURTISS BUSHNELL JR. MD, MSPH
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
4175 S ALAMO AVE, DAVIS-MONTHAN AIR FORCE BASE
TUCSON, AZ 85707
Pima County (520) 228-2720
DR. CARL WAYNE DASSE MD
Family Medicine
4175 S ALAMO AVE
DM AFB, AZ 85707
Pima County (520) 228-2600
DR. NICHOLAS ROBERT EINBENDER D.M.D.
Dentist (General Practice)
4175 S ALAMO AVE
TUCSON, AZ 85707
Pima County (520) 228-2778
AMANDA COOK DO
Pediatrics
4175 S ALAMO AVE
DAVIS-MONTHAN AFB, AZ 85707
Pima County (520) 228-2778

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 355th Medgrp-Davis-Monthan's NPI number?

The NPI number for 355th Medgrp-Davis-Monthan is 1245210384. It was assigned to this organization in the NPPES registry on January 17, 2006.

Where is 355th Medgrp-Davis-Monthan located?

355th Medgrp-Davis-Monthan is located at 4175 S Alamo Ave, Tucson, AZ 85707. The listed phone number is (520) 228-1506.

What is 355th Medgrp-Davis-Monthan's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient, with taxonomy code 261QM1100X.

When was this NPI record last updated?

The NPPES record for 355th Medgrp-Davis-Monthan was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.