NPIMap

Organization Active NPI

Reynolds Army Community Hospital

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Sill, OK
National Provider Identifier
1740650464
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
REYNOLDS ARMY COMMUNITY HOSPITAL
Doing business as
EBH TEAM A-SILL
Practice address
3445 Koehler Loop
Fort Sill, OK 73503-6008
Phone
(580) 558-2800
NPI assigned
Oct 7, 2015
Organization subpart
Yes
Parent organization
REYNOLDS ARMY COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Authorized official

Name
Irmin Troche
Title
Ubo Manager
Phone
(580) 558-8435

Specialties & licenses 1

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

Addresses

Primary practice location

3445 Koehler Loop
Fort Sill, OK 73503-6008

Mailing address

3009 N.W. Wilson Road
Attn McUa-Pad-PF
Ft Sill, OK 73503-9042
Phone (580) 458-2793

Other identifiers 1

IdentifierTypeStateIssuer
1487752960OtherPARENT NPI

Other names 1

  • EBH TEAM A-SILL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Reynolds Army Community Hospital15 organizations share this tax ID, including this one
Part of
Reynolds Army Community Hospital

Other organizations with this tax ID 14

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

View all 14

Locations

3445 Koehler Loop
Lawton, OK 73503
Phone (580) 442-4063

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1740650464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 N.W. WILSON ROAD",
            "address_2": "ATTN MCUA-PAD-PF",
            "city": "FT SILL",
            "state": "OK",
            "postal_code": "735039042",
            "telephone_number": "580-458-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 KOEHLER LOOP",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "735036008",
            "telephone_number": "580-558-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNOLDS ARMY COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REYNOLDS ARMY COMMUNITY HOSPITAL",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "TROCHE",
        "authorized_official_first_name": "IRMIN",
        "authorized_official_title_or_position": "UBO MANAGER",
        "authorized_official_telephone_number": "580-558-8435"
    },
    "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": "PARENT NPI",
            "identifier": "1487752960",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EBH TEAM A-SILL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Sill, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.