Active NPIOrganization

Eisenhower Army Medical Center

Clinic/Center, MilitaryU.S. Coast Guard Outpatient in Fort Buchanan, Puerto Rico

NPI Number1770798316
Practice location
21 Chrisman RD, Fort Buchanan, PR 00934-4519
Fax
—
Last updated
January 29, 2013

Eisenhower Army Medical Center is a healthcare organization based in Fort Buchanan, PR. Eisenhower Army Medical Center practices in Fort Buchanan, PR. The NPI Number for Eisenhower Army Medical Center is 1770798316. The current practice location address for Eisenhower Army Medical Center is 21 Chrisman RD, Fort Buchanan, PR 00934-4519 and can be reached out via phone at 706-787-5811.

Provider Profile Details

NPI Number
1770798316
Provider Name
Eisenhower Army Medical Center
Provider Entity Type
Organization
Address
21 Chrisman RD, Fort Buchanan, PR 00934-4519
Phone Number
706-787-5811
Organization Subpart
Yes
Parent Organization
Eisenhower Army Medical Center
Authorized Official
Marvin Primos · Ubo Manager · 706-787-7204
Other Names
Rodriguez Army Health Clinic-Ft. Buchanan (Doing Business As)
Provider Enumeration Date
May 14, 2007
Last Update Date
January 29, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Chrisman RD
Fort Buchanan, PR 00934-4519
Zip
00934-4519
Phone Number
706-787-5811
Fort Buchanan, PR 00934Get directions →

Provider Business Mailing Address Details

Address
300 W Hospital RD Bldg W
Attn Mchf-Pad
Fort Gordon, GA 30905-5741
City
Fort Gordon
State
GA
Zip
30905-5741
Phone Number
706-787-1125

License Information

Taxonomy (1)
MilitaryU.S. Coast Guard Pharmacy · 332000000X
Taxonomy (2)
Clinic/Center, MilitaryU.S. Coast Guard Outpatient · 261QM1100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Clinic/Center, MilitaryU.S. Coast Guard Outpatient providers near Fort Buchanan, PR

View all Clinic/Center, MilitaryU.S. Coast Guard Outpatient providers in Fort Buchanan →

Frequently Asked Questions

What is the NPI number of Eisenhower Army Medical Center?

The NPI number of Eisenhower Army Medical Center is 1770798316. It was assigned on May 14, 2007 and is currently active in the NPPES registry.

What is the specialty of Eisenhower Army Medical Center?

Eisenhower Army Medical Center is registered under the primary taxonomy Clinic/Center, MilitaryU.S. Coast Guard Outpatient (code 261QM1100X).

Where does Eisenhower Army Medical Center practice?

The practice location is 21 Chrisman RD, Fort Buchanan, PR 00934-4519. The office can be reached at 706-787-5811 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770798316 directly on the NPPES registry website.

Browse related providers