NPIMap

Organization Active NPI

United States Army

  • Military Hospital
  • Fort Gordon, GA
National Provider Identifier
1629357934
Registry record updated Oct 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
License
186686 Issued in NC
Legal business name
UNITED STATES ARMY
Practice address
300 W Hospital Rd RM 7a-46
Fort Gordon, GA 30905-5741
Phone
(706) 305-7036
NPI assigned
Aug 4, 2011
Last updated
Oct 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2013

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

Authorized official

Name
Dr. Harris Baloch, M.D
Title
Internal Medicine Intern
Phone
(706) 305-7036

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X
Military Hospital 286500000X 186686 NC Primary

Addresses

Primary practice location

300 W Hospital Rd RM 7a-46
Fort Gordon, GA 30905-5741

Mailing address

300 W Hospital Rd RM 7a-46
Fort Gordon, GA 30905-5741

National Provider Directory

National Provider Directory
Tax ID family
United States Army10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

300 W Hospital Rd
Rm 7A46
Fort Gordon, GA 30905
Phone (706) 305-7036

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1629357934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W HOSPITAL RD RM 7A-46",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "309055741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W HOSPITAL RD RM 7A-46",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "309055741",
            "telephone_number": "706-305-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED STATES ARMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-04",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "BALOCH",
        "authorized_official_first_name": "HARRIS",
        "authorized_official_title_or_position": "INTERNAL MEDICINE INTERN",
        "authorized_official_telephone_number": "706-305-7036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "NC",
            "license": "186686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Gordon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.