Organization Active NPI

Ahc Guthrie-Drum

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Drum, NY
National Provider Identifier
1730247156
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
AHC GUTHRIE-DRUM
Practice address
11050 Mount Belvedere Blvd
Ubo
Fort Drum, NY 13602-5438
Phone
(315) 772-4033
Fax
(315) 772-1553
NPI assigned
Dec 5, 2006
Last updated
May 22, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
AHC GUTHRIE-DRUMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Authorized official

Name
Sarah Erb
Title
Ubo Manager
Phone
(315) 772-1755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X Primary

Addresses

Primary practice location

11050 Mount Belvedere Blvd
Ubo
Fort Drum, NY 13602-5438

Mailing address

11050 Mount Belvedere Blvd
Ubo
Fort Drum, NY 13602-5438
Phone (315) 772-4033

Other identifiers 2

IdentifierTypeStateIssuer
3311521OtherNCPDP
4400024OtherGHI

Other names 1

  • AHC GUTHRIE-DRUM Other name

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1730247156",
    "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",
            "fax_number": "315-772-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "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",
            "fax_number": "315-772-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHC GUTHRIE-DRUM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AHC GUTHRIE-DRUM",
        "enumeration_date": "2006-12-05",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "ERB",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "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": "NCPDP",
            "identifier": "3311521",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "4400024",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AHC GUTHRIE-DRUM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Drum, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.