Eisenhower Army Medical Center, NPI 1750584363
Military/U.S. Coast Guard Outpatient Clinic/Center in Hattiesburg, MS, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1750584363
NPI Entity Type Organization
Provider Name Eisenhower Army Medical Center
Doing Business As
Subpart of Organization Eisenhower Army Medical Center
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1450 14th St, Hattiesburg, MS, US
Provider Mailing Address 300 W Hospital Rd Bldg W, Attn Mchf-pad, Fort Gordon, GA, US, 309055741
Is Sole Proprietor? No
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Organization Official

Official Name Marvin Primos
Official Position UBO MANAGER
Phone 706-787-7204

Primary Taxonomy

Taxonomy Code

261QM1100X

Taxonomy Name Military/U.S. Coast Guard Outpatient Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

Description The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.

Other Organization Name

USADC CAMP SHELBY 6
Doing Business As

Business Address

Eisenhower Army Medical Center
1450 14th St

Hattiesburg, MS, US

Phone: 601-558-2575

Mailing Address

Eisenhower Army Medical Center
300 W Hospital Rd Bldg W
Attn Mchf-pad
Fort Gordon, GA, US
ZIP 309055741
Phone: 706-787-1125

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