42d Medgrp-Maxwell
42d Medgrp-Maxwell is a healthcare organization registered as Military/U.S. Coast Guard Outpatient Clinic/Center in Maxwell Afb, AL, holding Type 2 (organization) NPI 1033196878 since 2005. The authorized official on file is Jen Lewandowski, Defense Health Agency (Dha) Financi.
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| NPI | 1033196878 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | 42d Medgrp-Maxwell |
| Other name | <Unavail> |
| Parent organization | 42d Medgrp-Maxwell |
| Practice address | 300 SOUTH TWINING ST, BUILDING 760, Maxwell Afb, AL, 36112 |
| Phone | 3349534943 |
| Fax | 3349531741 |
| Enumeration date | 2005-12-22 |
| Last updated in NPPES | 2025-06-16 |
Authorized official
| Name | Jen Lewandowski |
|---|---|
| Title | Defense Health Agency (Dha) Financi |
| Phone | 7038174030 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM1101X | Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center | Secondary | — | — |
| 332000000X | Military/U.S. Coast Guard Pharmacy | Secondary | — | — |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0127123 | Other | AL | NCPDP |
Copy-ready billing details
Provider: 42d Medgrp-Maxwell NPI: 1033196878 Taxonomy: 261QM1100X (Military/U.S. Coast Guard Outpatient Clinic/Center) Address: 300 SOUTH TWINING ST, BUILDING 760, Maxwell Afb, AL, 36112
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1225021082 | Hector Davila | Individual | Pediatrics Physician | Maxwell Afb, AL |
| 1154192714 | Terrence Murchison | Individual | Physician Assistant | Maxwell Afb, AL |
| 1740092063 | Gwendolyn Cummings | Individual | Clinical Social Worker | Maxwell, AL |
Verify this record
Cross-check NPI 1033196878 against the authoritative CMS record: view 42d Medgrp-Maxwell on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is 42d Medgrp-Maxwell located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-16.