Organization Name: | EISENHOWER ARMY MEDICAL CENTER |
NPI Number: | 1225184088 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | YVONNE LOVENIA TUCKER-HARRIS (CHIEF, SOCIAL WORK SERVICE) |
Mailing Address: | 300 W Hospital Road Eisenhower Army Medical Center Credentials Fort Gordon |
State: | GA US |
Postal Code: | 309055650 |
Phone Number: | 7067872720 |
Fax Number: | 7067878176 |
NPI Enumeration Date: | 01/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 286500000X |
License Number: | 12359 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | Military Hospital |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care facility operated by the Department of Defense. |