Eisenhower Army Medical Center
Eisenhower Army Medical Center is a health care provider in Fort Gordon, GA. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 1701 Hardee Ave Sw, Bldg 125, Ft Mcpherson, GA 30330, US |
|Practice Location Phone||404-464-0306|
|Practice Location Fax||404-464-0303|
|Legal Business Name||EISENHOWER ARMY MEDICAL CENTER|
|Other Organization Name||MACPHERSON MAIN PHCY|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ? ||Sep 21, 2006|
|Last Update Date ? ||Feb 13, 2013|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Eisenhower Army Medical Center
|Specialty||Provider Type||Specialization||License||License State|
|Military/U.S. Coast Guard Pharmacy||Suppliers|| |
Legacy Provider IDs of Eisenhower Army Medical Center
|Provider Id||Issuer State||Issuer Type||Issuer|
|1147102||Other||OTHER ID NUMBER-COMMERCIAL NUMBER|
Authorized Official of Eisenhower Army Medical Center
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Eisenhower Army Medical Center's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official || Hector Morales|
|Authorized Official Title/Position||MGR PHRMCY OPERATIONS CNTR|
|Authorized Official Phone Number||210-221-8274|