Eisenhower Army Medical Center
Eisenhower Army Medical Center provides Military/U.S. Coast Guard Outpatient Clinic/Center services in Fort Gordon, Georgia. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
320 Hospital RdFort Gordon, GA 30905 Not confirmed with CMS for 13 years — call before visiting
Phone: (706) 787-5102
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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 |
|---|
Record details
| NPI number | 1588868848 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Eisenhower Army Medical Center |
| Authorized official | Marvin Primos — Ubo Manager · (706) 787-7204 |
| Other names | Usadc Ft. Gordon Tingay |
| NPI enumerated | June 12, 2007 |
| Last updated in NPPES | January 29, 2013 |
| Mailing address | 300 W Hospital Rd Bldg W, Attn McHf-Pad, Fort Gordon, GA 30905-5741 |
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Eisenhower Army Medical Center
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300 W Hospital Rd, Fort Gordon, GA 30905-5741 · (706) 787-2324