NPIMap

Organization Active NPI

Eisenhower Army Med Cen

  • Military General Acute Care Hospital
  • Fort Gordon, GA
National Provider Identifier
1962695775
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military General Acute Care HospitalTaxonomy code 2865M2000X
Legal business name
EISENHOWER ARMY MED CEN
Practice address
300 W Hospital Rd BLDG W
Fort Gordon, GA 30905-5741
Phone
(706) 787-5811
NPI assigned
Aug 24, 2007
Last updated
Nov 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Authorized official

Name
Ambrose Sturgis
Title
Ubo Manager
Phone
(706) 787-8181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military General Acute Care Hospital 2865M2000X Primary

Addresses

Primary practice location

300 W Hospital Rd BLDG W
Fort Gordon, GA 30905-5741

Mailing address

300 W Hospital Rd
Attn Ubo
Fort Gordon, GA 30905-5741
Phone (706) 787-7204

Other names 1

  • AMC EISENHOWER-GORDON Other name

National Provider Directory

National Provider Directory
Tax ID family
AMC Eisenhower-Gordon3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1962695775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W HOSPITAL RD",
            "address_2": "ATTN UBO",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "309055741",
            "telephone_number": "706-787-7204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W HOSPITAL RD BLDG W",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "309055741",
            "telephone_number": "706-787-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EISENHOWER ARMY MED CEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "STURGIS",
        "authorized_official_first_name": "AMBROSE",
        "authorized_official_title_or_position": "UBO MANAGER",
        "authorized_official_telephone_number": "706-787-8181"
    },
    "taxonomies": [
        {
            "code": "2865M2000X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMC EISENHOWER-GORDON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 17, 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.