NPIMap

Organization Active NPI

Ireland Army Community Hospital

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort McCoy, WI
National Provider Identifier
1093910481
Registry record updated Apr 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
IRELAND ARMY COMMUNITY HOSPITAL
Practice address
2669 W Regimental Ave
Fort McCoy, WI 54656-5229
Phone
(502) 624-9928
NPI assigned
Jun 18, 2007
Organization subpart
Yes
Parent organization
IRELAND ARMY COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 11, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Barbara Hornback
Title
Ubo Manager
Phone
(502) 624-9870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X Primary

Addresses

Primary practice location

2669 W Regimental Ave
Fort McCoy, WI 54656-5229

Mailing address

289 Ireland Ave
Attn: Treasurers Office
Fort Knox, KY 40121-5111
Phone (502) 624-9274

Other names 1

  • USADC FT. MCCOY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ireland Army Community Hospital16 organizations share this tax ID, including this one
Part of
Ireland Army Community Hospital

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397174400000",
    "number": "1093910481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 IRELAND AVE",
            "address_2": "ATTN: TREASURERS OFFICE",
            "city": "FORT KNOX",
            "state": "KY",
            "postal_code": "401215111",
            "telephone_number": "502-624-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2669 W REGIMENTAL AVE",
            "city": "FORT MCCOY",
            "state": "WI",
            "postal_code": "546565229",
            "telephone_number": "502-624-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRELAND ARMY COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IRELAND ARMY COMMUNITY HOSPITAL",
        "enumeration_date": "2007-06-18",
        "last_updated": "2014-04-11",
        "status": "A",
        "authorized_official_last_name": "HORNBACK",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "UBO MANAGER",
        "authorized_official_telephone_number": "502-624-9870"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USADC FT. MCCOY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort McCoy, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.