MAXWELL AFB AMBULATORY HEALTH CARE CENTER
NPI 1396738944
Clinic/Center - Military/U.S. Coast Guard Outpatient in Maxwell Afb, AL

Active since August 30, 2005
300 S. TWINING STREET, BLDG 760, FAMILY PRACTICE - YELLOW TEAM, MAXWELL AFB, AL 36112(334) 953-2234 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maxwell Afb Ambulatory Health Care Center NPPES

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

MAXWELL AFB AMBULATORY HEALTH CARE CENTER (NPI 1396738944) is a healthcare organization registered as a military/u.s. coast guard outpatient in Maxwell Afb, Alabama and active in the NPI registry since August 2005. The organization lists Tomeka Danielle Russell, Family Practice Physician, as its authorized official.

NPPES Registry Identity

NPI1396738944
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business NameMAXWELL AFB AMBULATORY HEALTH CARE CENTER
Location Address300 S. TWINING STREET, BLDG 760, FAMILY PRACTICE - YELLOW TEAMMaxwell Afb, AL 36112
Mailing Address375 Ashton Park DrMillbrook, AL 36054 · (334) 290-0399
Organization SubpartNo
Authorized OfficialTomeka Danielle RussellFamily Practice Physician · (334) 953-1307
Enumeration DateAugust 30, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1396738944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Military/U.S. Coast Guard OutpatientAmbulatory Health Care Facilities
Taxonomy Code261QM1100X
License Licensed in AL · 25934
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.
300 S. TWINING STREET, Maxwell Afb, AL 36112

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 Maxwell Afb Ambulatory Health Care Center's NPI number?

The NPI number for Maxwell Afb Ambulatory Health Care Center is 1396738944. It was assigned to this organization in the NPPES registry on August 30, 2005.

Where is Maxwell Afb Ambulatory Health Care Center located?

Maxwell Afb Ambulatory Health Care Center is located at 300 S. Twining Street Bldg 760, Family Practice - Yellow Team, Maxwell Afb, AL 36112. The listed phone number is (334) 953-2234.

What is Maxwell Afb Ambulatory Health Care Center'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 Maxwell Afb Ambulatory Health Care Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.