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Eisenhower Army Medical Center
Military/U.S. Coast Guard Pharmacy in Fort Gordon, Georgia
NPI 1427131432

Eisenhower Army Medical Center is a Military/U.S. Coast Guard Pharmacy based in Fort Gordon, GA. Eisenhower Army Medical Center practices in Fort Gordon, GA. The NPI Number for Eisenhower Army Medical Center is 1427131432 and holds a License No. (Georgia).

The current practice location address for Eisenhower Army Medical Center is 29709 B Street, Fort Gordon, GA and can be reached out via phone at 706-787-5811.

Location: 29709 B Street, Fort Gordon, GA, 30905-5741
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427131432
Provider Name
Eisenhower Army Medical Center
Credential
Provider Entity Type
Organization
Address
29709 B Street, Fort Gordon, GA, 30905-5741
Phone Number
706-787-5811
Fax Number
Provider Enumeration Date
10/23/2006
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1578660742 01 PARENT MTF NPI
institution
Provider Business Practice Location Address Details
Address
29709 B Street
City
Fort Gordon
State
Georgia
Zip
30905-5741
Phone Number
706-787-5811
Fax Number
person
Provider Business Mailing Address Details
Address
29709 B Street
City
Fort Gordon
State
Georgia
Zip
30905-5741
Phone Number
706-787-5811
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Military/U.S. Coast Guard Outpatient
Taxonomy
261QM1100X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Military/U.S. Coast Guard Pharmacy
Speciality
-
Taxonomy
332000000X
License No.
()
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. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services.
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