355TH MEDGRP-DAVIS-MONTHAN
NPI 1245210384
Clinic/Center - Military/U.S. Coast Guard Outpatient in Tucson, AZ
NPI Status: Active since January 17, 2006
Contact Information
4175 S ALAMO AVE
TUCSON, AZ
ZIP 85707
Phone: (520) 228-1506
Fax: (520) 228-0183
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Organization
- Clinic/Center
- Military/U.S. Coast Guard Outpatient
About 355TH MEDGRP-DAVIS-MONTHAN
This page provides the complete NPI Profile along with additional information for 355th Medgrp-davis-monthan, a provider established in Tucson, Arizona operating as a Clinic/center, focusing in military/u.s. coast guard outpatient . The healthcare provider is registered in the NPI registry with number 1245210384 assigned on January 2006. The practitioner's primary taxonomy code is 261QM1100X. The provider is registered as an organization and their NPI record was last updated June 2025. The authorized official of this NPI record is Jen Lewandowski (Air Force Uniform Business Office)
- NPI
- 1245210384
- Provider Name
- 355TH MEDGRP-DAVIS-MONTHAN
- Entity Type
- Organization
- Location Address
- 4175 S ALAMO AVE TUCSON, AZ 85707
- Location Phone
- (520) 228-1506
- Location Fax
- (520) 228-0183
- Mailing Address
- 4175 S ALAMO AVE TUCSON, AZ 85707
- Mailing Phone
- (520) 228-1506
- Mailing Fax
- (520) 228-0183
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-17-2006
- Last Update Date
- 06-16-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Military/U.S. Coast Guard Outpatient
- Taxonomy Code
- 261QM1100X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM1101X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 332000000X | Suppliers | Military/U.S. Coast Guard Pharmacy |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0322103 | OTHER (01) | AZ | NCPDP |
Reviews for 355TH MEDGRP-DAVIS-MONTHAN
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 4 | 5 | 2 | 1 | 0 | 3 | 8 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 4 | 1 | 0 | 3 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 4 + 1 + 0 + 3 + 1 + 6 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1245210384 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1821083536 | MS. SANDRA KAY KUHN WHNP Individual | Nurse Practitioner (Women's Health) | 4175 S ALAMO AVE BLDG 400 DAVIS MONTHAN AFB, AZ 85707 (520) 228-2665 |
| 1134110174 | MS. ALTHEA B MILLER Individual | Advanced Practice Midwife | 4175 S ALAMO AVE DAVIS-MONTHAN AFB TUCSON, AZ 85707 (520) 228-2615 |
| 1225012321 | DR. GARY LEE HURWITZ M.D. Individual | Emergency Medicine | 4175 S ALAMO AVE TUCSON, AZ 85707 (520) 228-2719 |
| 1538146972 | SHANNEN MARIE WRIGHT NURSE PRACTITIONER Individual | Nurse Practitioner (Women's Health) | 4175 S ALAMO AVE DAVIS MONTHAN AFB, AZ 85707 (520) 228-2665 |
| 1982682514 | DR. ROBIN L LIVINGSTON DMD Individual | Dentist (General Practice) | 4175 S ALAMO AVE DAVIS MONTHAN AFB, AZ 85707 (520) 228-1911 |
| 1952389223 | DR. HOWARD ROBERT ZVEITEL D.O. Individual | Family Medicine | 4175 S ALAMO AVE 355TH MEDICAL GROUP TUCSON, AZ 85707 (520) 228-2810 |
| 1851371686 | CRAIG ALAN WARDELL M.D. Individual | Family Medicine | 4175 S ALAMO AVE DAVIS MONTHAN A F B, AZ 85707 (520) 228-1593 |
| 1346220860 | MR. TROY JOHN SELBY PA-C Individual | Physician Assistant | 4175 S ALAMO AVE DM AFB, AZ 85707 (520) 228-1593 |
| 1063492502 | DR. CARL WAYNE DASSE MD Individual | Family Medicine | 4175 S ALAMO AVE DM AFB, AZ 85707 (520) 228-2600 |
| 1619947868 | DR. ROOSEVELT ALLEN DDS Individual | Dentist | 4175 S ALAMO AVE DAVIS MONTHAN A F B, AZ 85707 (520) 228-2654 |
| 1063482255 | DR. ALLAN CURTISS BUSHNELL JR. MD, MSPH Individual | Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine) | 4175 S ALAMO AVE DAVIS-MONTHAN AIR FORCE BASE TUCSON, AZ 85707 (520) 228-2720 |
| 1881664076 | MRS. KIMBERLEY K. PROCKELO RDH Individual | Dental Hygienist | 4175 S ALAMO AVE DM AFB, AZ 85707 (520) 228-2651 |
| 1033184551 | NANCY CHRISTY N.P. Individual | Nurse Practitioner (Women's Health) | 4175 S ALAMO AVE BUILDING 400 DM AFB, AZ 85707 (520) 228-2665 |
| 1841251733 | KENNETH LEE SANDOCK M.D. Individual | Specialist | 4175 S ALAMO AVE TUCSON, AZ 85707 (520) 228-2870 |
| 1104860873 | MS. CINDI A GOLD PT, SCS Individual | Physical Therapist | 4175 S ALAMO AVE TUCSON, AZ 85707 (520) 228-2886 |
| 1467488478 | DR. WILLIAM EDWARD CROOKS D.M.D. Individual | Dentist (Periodontics) | 4175 S ALAMO AVE DAVIS MONTHAN A F B, AZ 85707 (520) 228-2651 |
| 1700957420 | VIRGINIA ANN UNDERWOOD M.D. Individual | Family Medicine | 4175 S ALAMO AVE DAVIS MONTHAN AFB, AZ 85707 (520) 228-2600 |
| 1841366267 | DR. BASSAM M FAKHOURI M.D. Individual | Pediatrics | 4175 S ALAMO AVE DAVIS-MONTHAN AFB TUCSON, AZ 85707 (520) 228-2600 |
| 1205987039 | PETRAN BEARD Individual | Family Medicine | 4175 S ALAMO AVE DAVIS-MONTHAN AFB TUCSON, AZ 85707 (520) 228-2719 |
| 1699963843 | ANGELA UNDINE JOSIAH PHARMD Individual | Pharmacist | 4175 S ALAMO AVE PHARMACY TUCSON, AZ 85707 (520) 228-1923 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245210384, enumerated in the NPI registry as an "organization" on January 17, 2006
The provider is located at 4175 S Alamo Ave Tucson, Az 85707 and the phone number is (520) 228-1506
This medical organization specializes in Clinic/Center with taxonomy code 261QM1100X with a focus in Military/U.S. Coast Guard Outpatient
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on January 17, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.