NPIMap

Organization Active NPI

Ireland Army Community Hospital

Doing business as Blue Grass Depot AHC

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Richmond, KY
National Provider Identifier
1104032754
Registry record updated Apr 1, 2015
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
Doing business as
Blue Grass Depot AHC
Practice address
2091 Kingston Hwy
Attn Blue Grass Health Clinic
Richmond, KY 40475-5000
Phone
(502) 624-9333
NPI assigned
May 14, 2007
Last updated
Apr 1, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
IRELAND ARMY COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

2091 Kingston Hwy
Attn Blue Grass Health Clinic
Richmond, KY 40475-5000

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1891899274OtherPARENT FACILITY IRELAND ACH NPI

Other names 1

  • Blue Grass Depot AHC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ahc Ireland-Knox16 organizations share this tax ID, including this one
Part of
Ahc Ireland-Knox

Other organizations with this tax ID 15

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

View all 15

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1104032754",
    "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": "2091 KINGSTON HWY",
            "address_2": "ATTN BLUE GRASS HEALTH CLINIC",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404755000",
            "telephone_number": "502-624-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRELAND ARMY COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IRELAND ARMY COMMUNITY HOSPITAL",
        "enumeration_date": "2007-05-14",
        "last_updated": "2015-04-01",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARENT FACILITY IRELAND ACH NPI",
            "identifier": "1891899274",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Grass Depot AHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.