Eisenhower Army Medical Center in Fort Gordon - Military/u.s. Coast Guard Pharmacy
Eisenhower Army Medical Center - NPI 1164636320
Eisenhower Army Medical Center is a Military/u.s. Coast Guard Pharmacy in Fort Gordon, Georgia. Eisenhower Army Medical Center practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Pharmacy. The NPI Number for Eisenhower Army Medical Center is 1164636320. The last update date is 2015-01-05.
Eisenhower Army Medical Center's current location address is 300 W Hospital Rd Bldg W, Fort Gordon, Georgia. You can contact this provider via phone number 7067871125. The mailing address for Eisenhower Army Medical Center is 300 W Hospital Rd Bldg W, Fort Gordon, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eisenhower Army Medical Center |
|---|---|
| Address | 300 W Hospital Rd Bldg W, Fort Gordon, Georgia |
| Phone Number | 7067871125 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | UBO MANAGE |
|---|---|
| Authorized Official Name | Primos Marvin |
| Telephone Number | 7067877204 |
NPI Number Detail
| NPI Number | 1164636320 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2015-01-05 |
Provider Mailing Address Detail
| Address | 300 W Hospital Rd Bldg W |
|---|---|
| City | Fort Gordon |
| State | Georgia (GA) |
| Post Code | 309055741 |
| Phone Number | 7067871125 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Military/u.s. Coast Guard Pharmacy |
|---|---|
| Taxonomy | 332000000X |
|
Definition: A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Co |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1578660742 | PARENT MTF NPI |
Post Comment/ Review Below
What is the unique identifier code issued to Eisenhower Army Medical Center by the Centers for Medicare & Medicaid Services (CMS)?
The Eisenhower Army Medical Center has been assigned the NPI (National Provider Identifier) 1164636320. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Eisenhower Army Medical Center located?
The Eisenhower Army Medical Center is located at 300 W Hospital Rd Bldg W, Fort Gordon, GA 309055741.
What is the Eisenhower Army Medical Center's specialty and taxonomy code?
The Eisenhower Army Medical Center's specialty is Military/u.s. Coast Guard Pharmacy, and the corresponding taxonomy code is 332000000X.
On what date did Eisenhower Army Medical Center receive its 1164636320 assignment from the Centers for Medicare & Medicaid Services?
The Eisenhower Army Medical Center was assigned its 1164636320 on 2007-05-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Eisenhower Army Medical Center, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Eisenhower Army Medical Center, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-01-05.
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