Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

355th Medgrp-Davis-Monthan

Organization Military/U.S. Coast Guard Outpatient Clinic/Center · NPI 1245210384

355th Medgrp-Davis-Monthan is a Military/U.S. Coast Guard Outpatient Clinic/Center in Tucson, Arizona. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3

Practice location Address checks out

4175 S Alamo Ave
Tucson, AZ 85707-6097
Phone: (520) 228-1506
Fax: (520) 228-0183
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Military/U.S. Coast Guard Outpatient Clinic/Center (primary) Taxonomy 261QM1100X
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center Taxonomy 261QM1101X
Military/U.S. Coast Guard Pharmacy Taxonomy 332000000X

Record details

NPI number1245210384
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organization355th Medgrp-Davis-Monthan
Authorized official Jen Lewandowski — Air Force Uniform Business Office · (703) 817-4030
NPI enumeratedJanuary 17, 2006
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025
Mailing address4175 S Alamo Ave, Tucson, AZ 85707-6097