Active NPI
Guthrie Ahc
Doing business as EBH 3rd BCT CLINIC-DRUM
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Fort Drum, NY
National Provider Identifier
1962823575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Legal business name
- GUTHRIE AHC
- Doing business as
- EBH 3rd BCT CLINIC-DRUM
- Practice address
- 11050 Mount Beledere Blvd
Fort Drum, NY 13602 - Phone
- (315) 772-0977
- NPI assigned
- Dec 27, 2013
- Organization subpart
- Yes
- Parent organization
- GUTHRIE AHC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Military/U.S. Coast Guard Outpatient Clinic/Center | 261QM1100X | Primary |
Addresses
Primary practice location
11050 Mount Beledere Blvd
Fort Drum, NY 13602
Mailing address
11050 Mount Belvedere Blvd
C/O Ubo
Fort Drum, NY 13602-5438
Phone (315) 772-4033
Other names 1
- EBH 3rd BCT CLINIC-DRUM
National Provider Directory
National Provider Directory- Tax ID family
- Guthrie Ahc
- Part of
- Guthrie Ahc
Other organizations with this tax ID 12
Organizations that report the same tax identification number in the National Provider Directory.
-
dba DoD FT DRUM ePhcy
- Military/U.S. Coast Guard Pharmacy
- Fort Drum, NY
- NPI 1053724807
-
dba Drum Connor TMC Phcy
- Military/U.S. Coast Guard Pharmacy
- Fort Drum, NY
- NPI 1336248798
-
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Fort Drum, NY
- NPI 1730247156
-
dba Ahc Falcon-Drum
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Fort Drum, NY
- NPI 1063902666
-
dba CTMC Conner-Drum
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Fort Drum, NY
- NPI 1093920811
-
dba BH Satellite Clinic-Carthage
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Carthage, NY
- NPI 1144565797
-
dba Ohc-Watervliet
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Fort Drum, NY
- NPI 1164637112
-
dba EBH 2nd BCT CLINIC-DRUM
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Fort Drum, NY
- NPI 1366863060
-
dba Usadc Marshall-Drum
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Fort Drum, NY
- NPI 1457556136
-
dba EBH 1st BCT CLINIC-DRUM
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Fort Drum, NY
- NPI 1548681240
-
dba Usadc Stone-Drum
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Fort Drum, NY
- NPI 1740486091
-
dba Usadc Clark Hall Inproc C-Drum
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Fort Drum, NY
- NPI 1811192594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429488000000",
"number": "1962823575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11050 MOUNT BELVEDERE BLVD",
"address_2": "C/O 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": "11050 MOUNT BELEDERE BLVD",
"city": "FORT DRUM",
"state": "NY",
"postal_code": "13602",
"telephone_number": "315-772-0977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUTHRIE AHC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GUTHRIE AHC",
"enumeration_date": "2013-12-27",
"last_updated": "2015-04-20",
"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": "EBH 3rd BCT CLINIC-DRUM",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Drum, NY
- Guthrie Ahc (EBH 2nd BCT CLINIC-DRUM)
- Guthrie Ahc (Usadc Marshall-Drum)
- Guthrie Ahc (EBH 1st BCT CLINIC-DRUM)
- Guthrie Ahc (Usadc Stone-Drum)
- Guthrie Ahc (Usadc Clark Hall Inproc C-Drum)
- Nelly Gutierrez, DENTAL ASSISTANTEFDA
- Eric Rafael Guzman, O.D.
- Casey Lynn Hamilton, LCSW
- Donna K Hamilton, RN
- Kathleen Therese Hanchek, RN,MSN, CNS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.