Guthrie Ahc

Primary specialty

Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X

Legal business name

GUTHRIE AHC

Doing business as

CTMC Conner-Drum

Practice address

10205 N Riva Ridge Loop
Suite P10506
Fort Drum, NY 13602-5457

Phone

(315) 772-2778

NPI assigned

May 14, 2007

Last updated

Mar 25, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

GUTHRIE AHCAs reported in NPPES

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

Authorized official

Name

Nancy Draper

Title

Acting Ubo Manager

Phone

(315) 772-1755

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• CTMC CONNER-DRUM Doing business as

Tax ID family

Ahc Guthrie-Drum13 organizations share this tax ID, including this one

Part of

Ahc Guthrie-Drum

Other organizations with this tax ID 12

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

• Ahc Guthrie-Drum

  dba DoD FT DRUM ePhcy

  • Military/U.S. Coast Guard Pharmacy
  • Fort Drum, NY
  • NPI 1053724807
  NPD tax ID
• Ahc Guthrie-Drum

  dba Drum Connor TMC Phcy

  • Military/U.S. Coast Guard Pharmacy
  • Fort Drum, NY
  • NPI 1336248798
  NPD tax ID
• Ahc Guthrie-Drum

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Drum, NY
  • NPI 1730247156
  NPD tax ID
• Guthrie Ahc

  dba Ahc Falcon-Drum

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Drum, NY
  • NPI 1063902666
  NPD tax ID
• Guthrie Ahc

  dba BH Satellite Clinic-Carthage

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Carthage, NY
  • NPI 1144565797
  NPD tax ID
• Guthrie Ahc

  dba Ohc-Watervliet

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Drum, NY
  • NPI 1164637112
  NPD tax ID
• Guthrie Ahc

  dba EBH 2nd BCT CLINIC-DRUM

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Drum, NY
  • NPI 1366863060
  NPD tax ID
• Guthrie Ahc

  dba Usadc Marshall-Drum

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Drum, NY
  • NPI 1457556136
  NPD tax ID
• Guthrie Ahc

  dba EBH 1st BCT CLINIC-DRUM

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Drum, NY
  • NPI 1548681240
  NPD tax ID
• Guthrie Ahc

  dba Usadc Stone-Drum

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Drum, NY
  • NPI 1740486091
  NPD tax ID
• Guthrie Ahc

  dba Usadc Clark Hall Inproc C-Drum

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Drum, NY
  • NPI 1811192594
  NPD tax ID
• Guthrie Ahc

  dba EBH 3rd BCT CLINIC-DRUM

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Drum, NY
  • NPI 1962823575
  NPD tax ID

Locations

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1093920811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11050 MOUNT BELVEDERE BLVD",
            "address_2": "UBO",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "136025438",
            "telephone_number": "315-772-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10205 N RIVA RIDGE LOOP",
            "address_2": "SUITE P10506",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "136025457",
            "telephone_number": "315-772-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUTHRIE AHC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUTHRIE AHC",
        "enumeration_date": "2007-05-14",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "DRAPER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "ACTING UBO MANAGER",
        "authorized_official_telephone_number": "315-772-1755"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY NPI",
            "identifier": "1336248798",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARENT FACILITY NPI",
            "identifier": "1730247156",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CTMC CONNER-DRUM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Grieco, DENTAL HYGIENIST
• Keisa Grisales, DENTAL ASSISTANTEFDA
• Brittany Grome, LPN
• Taylor Emily Gruneisen
• Guthrie Ahc (Ahc Falcon-Drum)
• Guthrie Ahc (Ohc-Watervliet)
• Guthrie Ahc (EBH 2nd BCT CLINIC-DRUM)
• Guthrie Ahc (Usadc Marshall-Drum)
• Guthrie Ahc (EBH 1st BCT CLINIC-DRUM)
• Guthrie Ahc (Usadc Stone-Drum)

• Military/U.S. Coast Guard Outpatient Clinic/Center in Fort Drum, NY
• Providers in Fort Drum, NY by specialty
• Military/U.S. Coast Guard Outpatient Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.