<Unavail>
LBN: Amc Eisenhower
<Unavail> is an health care organization with primary practice located at 300 W Hospital Rd Bldg W , Fort Gordon GA 30905-5741. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Military/U.S. Coast Guard Outpatient, Ambulatory Health Care Facilities / Military and U.S. Coast Guard Ambulatory Procedure, Hospitals / Military General Acute Care Hospital. Hospitals / Military General Acute Care Hospital is the primary health care specialty.
Amc Eisenhower can be contacted via phone (706) 787-5811, or through Brown, Kimberly via phone (706) 787-7172.
Contact Information
Primary practice address
300 W Hospital Rd Bldg W
Fort Gordon GA 30905-5741
Phone: (706) 787-5811
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Military/U.S. Coast Guard Outpatient | 261QM1100X | ||
| Ambulatory Health Care Facilities / Military and U.S. Coast Guard Ambulatory Procedure | 261QM1101X | ||
| Hospitals / Military General Acute Care Hospital | 2865M2000X |
Profile Details
| NPI number | 1578660742 |
|---|---|
| LBN Legal business name | Amc Eisenhower |
| DBA Doing business as | <Unavail> |
| Authorized official | Brown, Kimberly |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | May 21st, 2025 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578660742 | NPPES |
| Other | AN2598588 | MEDCO | |
| Other | 1497854160/1146643 | MEDCO |
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