NPIMap

Organization Active NPI

Guthrie Ahc

Doing business as Usadc Stone-Drum

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Drum, NY
National Provider Identifier
1740486091
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
GUTHRIE AHC
Doing business as
Usadc Stone-Drum
Practice address
10590 Enduring Freedom Drive
Fort Drum, NY 13602
Phone
(315) 772-5576
NPI assigned
Jun 25, 2007
Last updated
Mar 26, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
GUTHRIE AHCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Authorized official

Name
Nancy Draper
Title
Acting 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

10590 Enduring Freedom Drive
Fort Drum, NY 13602

Mailing address

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

Other names 1

  • USADC STONE-DRUM Doing business as

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.

  • Ahc Guthrie-Drum

    dba DoD FT DRUM ePhcy

    • Military/U.S. Coast Guard Pharmacy
    • Fort Drum, NY
    • NPI 1053724807
    NPD tax ID
  • Ahc Guthrie-Drum

    dba Drum Connor TMC Phcy

    • Military/U.S. Coast Guard Pharmacy
    • Fort Drum, NY
    • NPI 1336248798
    NPD tax ID
  • Ahc Guthrie-Drum
    • Military/U.S. Coast Guard Outpatient Clinic/Center
    • Fort Drum, NY
    • NPI 1730247156
    NPD tax ID
  • Guthrie Ahc

    dba Ahc Falcon-Drum

    • Military/U.S. Coast Guard Outpatient Clinic/Center
    • Fort Drum, NY
    • NPI 1063902666
    NPD tax ID
  • Guthrie Ahc

    dba CTMC Conner-Drum

    • Military/U.S. Coast Guard Outpatient Clinic/Center
    • Fort Drum, NY
    • NPI 1093920811
    NPD tax ID
  • Guthrie Ahc

    dba BH Satellite Clinic-Carthage

    • Military/U.S. Coast Guard Outpatient Clinic/Center
    • Carthage, NY
    • NPI 1144565797
    NPD tax ID
  • Guthrie Ahc

    dba Ohc-Watervliet

    • Military/U.S. Coast Guard Outpatient Clinic/Center
    • Fort Drum, NY
    • NPI 1164637112
    NPD tax ID
  • Guthrie Ahc

    dba EBH 2nd BCT CLINIC-DRUM

    • Military/U.S. Coast Guard Outpatient Clinic/Center
    • Fort Drum, NY
    • NPI 1366863060
    NPD tax ID
  • Guthrie Ahc

    dba Usadc Marshall-Drum

    • Military/U.S. Coast Guard Outpatient Clinic/Center
    • Fort Drum, NY
    • NPI 1457556136
    NPD tax ID
  • Guthrie Ahc

    dba EBH 1st BCT CLINIC-DRUM

    • Military/U.S. Coast Guard Outpatient Clinic/Center
    • Fort Drum, NY
    • NPI 1548681240
    NPD tax ID
  • Guthrie Ahc

    dba Usadc Clark Hall Inproc C-Drum

    • Military/U.S. Coast Guard Outpatient Clinic/Center
    • Fort Drum, NY
    • NPI 1811192594
    NPD tax ID
  • Guthrie Ahc

    dba EBH 3rd BCT CLINIC-DRUM

    • Military/U.S. Coast Guard Outpatient Clinic/Center
    • Fort Drum, NY
    • NPI 1962823575
    NPD tax ID

Locations

10590 Enduring Freedom Dr
Watertown, NY 13602
Phone (315) 772-5576

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1740486091",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10590 ENDURING FREEDOM DRIVE",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "13602",
            "telephone_number": "315-772-5576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUTHRIE AHC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUTHRIE AHC",
        "enumeration_date": "2007-06-25",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "DRAPER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "ACTING 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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USADC STONE-DRUM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 26, 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.