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Eisenhower Army Medical Center
Military/U.S. Coast Guard Outpatient Clinic/Center in Hattiesburg, Mississippi
NPI 1750584363

Eisenhower Army Medical Center is a Military/U.S. Coast Guard Outpatient Clinic/Center based in Fort Gordon, MS and is specialized in Military/U.S. Coast Guard Outpatient. Eisenhower Army Medical Center practices in Hattiesburg, MS. The NPI Number for Eisenhower Army Medical Center is 1750584363 and holds a License No. (Mississippi).

The current practice location address for Eisenhower Army Medical Center is 1450 14Th St, Hattiesburg, MS and can be reached out via phone at 601-558-2575. You can also correspond with Eisenhower Army Medical Center through the mailing address at 300 W HOSPITAL RD BLDG W, FORT GORDON, GA - 30905-5741 (mailing address contact number: 706-787-1125).

Location: 1450 14Th St, Hattiesburg, MS, 30905-5741
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750584363
Provider Name
Eisenhower Army Medical Center
Credential
Provider Entity Type
Organization
Address
1450 14Th St, Hattiesburg, MS, 30905-5741
Phone Number
601-558-2575
Fax Number
Provider Enumeration Date
06/10/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1450 14Th St
City
Hattiesburg
State
Mississippi
Zip
39407-0001
Phone Number
601-558-2575
Fax Number
person
Provider Business Mailing Address Details
Address
1450 14Th St
City
Hattiesburg
State
Mississippi
Zip
39407-0001
Phone Number
601-558-2575
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.
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