EISENHOWER ARMY MEDICAL CENTER – NPI #1154480846
Clinic/Center

EISENHOWER ARMY MEDICAL CENTER is an AHC clinic located in FORT GORDON, GA. NPPES has assigned the NPI number 1154480846 to EISENHOWER ARMY MEDICAL CENTER on December 08, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EISENHOWER ARMY MEDICAL CENTER below.

NPI Profile for
EISENHOWER ARMY MEDICAL CENTER

NPI Number
1154480846
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EISENHOWER ARMY MEDICAL CENTER
Primary location
300 W HOSPITAL ROAD
EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS
FORT GORDON, GA 30907
Phone: (706) 787-2720 Fax: (706) 787-8276
Mailing address
3126 FIELDSTONE CIRCLE
AUGUSTA, GA 30907
Phone: (706) 860-0867 Fax:
Organization Subpart
No
Authorized Official
EUGENE BEVERLY
PHYSICIAN ASSISTANT
Phone: (706) 787-5170
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.