United States Army
Organization Active NPI Military General Acute Care Hospital · Fort Gordon, GA
NPI 1295049773 · NPPES record last updated Jul 27, 2010
Key facts
- NPI
- 1295049773
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Military General Acute Care Hospital 2865M2000X
- Legal business name
- UNITED STATES ARMY
- Practice address
- 300 W Hospital Rd
Fort Gordon, GA 30905-5741 - Phone
- (706) 787-2324
- NPI assigned
- Jul 27, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Michael Quinn, MD
- Title
- Internal Medicine Program Director
- Phone
- (706) 787-0674
Corporate family (same tax ID) 41
National Provider Directory
- Tax ID family
- US Army
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military/U.S. Coast Guard Outpatient Clinic/Center | 261QM1100X | |||
| Military General Acute Care Hospital | 2865M2000X | Yes |
Addresses
Primary practice location
300 W Hospital Rd
Fort Gordon, GA 30905-5741
Mailing address
205 Sarah Creek CT
Martinez, GA 30907-1223
Phone (785) 817-1930
Other providers in Fort Gordon, GA
- Robbiesteene L. Trent
- Sandra Howse Truett
- Yvonne Lovenia Tucker-Harris
- Carolyn Alice Tylenda
- Jason Aaron Unger
- United States Army
- United States Army
- Robert Jerome Utley
- Arelis Valentin-Rodriguez
- Marianne S. Valladares
All providers in Fort Gordon, GA · Military General Acute Care Hospital in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.