Eisenhower Army Medical Center
Organization Active NPI Military/U.S. Coast Guard Outpatient Clinic/Center · Ft McPherson, GA
NPI 1861609513 · NPPES record last updated Nov 17, 2015
Key facts
- NPI
- 1861609513
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X
- Legal business name
- EISENHOWER ARMY MEDICAL CENTER
- Practice address
- 1701 Hardee Ave
Ft McPherson, GA 30330 - Phone
- (706) 787-5811
- NPI assigned
- May 16, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- EISENHOWER ARMY MEDICAL CENTER
Authorized official
- Name
- Ambrose Sturgis
- Title
- Ubo Manager
- Phone
- (706) 787-8181
Corporate family (same tax ID) 15
National Provider Directory
- Tax ID family
- AMC Eisenhower
- Part of
- AMC Eisenhower
Locations
1701 Hardee Ave SW
Atlanta, GA 30310
Phone (404) 230-5683
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military/U.S. Coast Guard Outpatient Clinic/Center | 261QM1100X | Yes |
Addresses
Primary practice location
1701 Hardee Ave
Ft McPherson, GA 30330
Mailing address
300 W Hospital Rd BLDG W
Attn MCHF-Pad
Fort Gordon, GA 30905-5741
Phone (706) 787-1125
Other names
- TMC-LAWRENCE JOEL-MCPHERSON
Other providers in Ft McPherson, GA
- Christine G. Casey
- Robert J Daniell
- Eisenhower Army Medical Center
- Maria Victoria Tagal Fields
- Nicole T Flowers
- Larry Oneal France
- Mia Garcia
- Wyvonia Satina Garnett
All providers in Ft McPherson, GA · Military/U.S. Coast Guard Outpatient Clinic/Center in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.