NPIMap

Organization Active NPI

Ireland Army Community Hospital

Doing business as Occupational HLTH Clinic-Tacom

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Warren, MI
National Provider Identifier
1386859387
Registry record updated Apr 2, 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
Occupational HLTH Clinic-Tacom
Practice address
6501 E 11 Mile Rd
Warren, MI 48397-5000
Phone
(502) 624-9333
NPI assigned
May 11, 2007
Last updated
Apr 2, 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 2, 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 NU Primary

Addresses

Primary practice location

6501 E 11 Mile Rd
Warren, MI 48397-5000

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

  • OCCUPATIONAL HLTH CLINIC-TACOM 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

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1386859387",
    "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": "6501 E 11 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "483975000",
            "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": "2007-05-11",
        "last_updated": "2015-04-02",
        "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": "NU",
            "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": "OCCUPATIONAL HLTH CLINIC-TACOM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.