EISENHOWER ARMY MEDICAL CENTER


Address: Building 21, 21 Chrisman Rd, Ft Buchanan, PR 00934-3400
Phone: 7877072052

EISENHOWER ARMY MEDICAL CENTER (NPI# 1053661173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053661173
Entity Type Organization
Organization Name EISENHOWER ARMY MEDICAL CENTER
Other Organization Name BUCHANAN CALL-IN PHCY
Practice Address Building 21
21 Chrisman Rd
Ft Buchanan
PR 00934-3400
Mailing Address Attn Mchf-pad
300 W Hospital Rd
Fort Gordon
GA 30905-5741
Practice Telephone 7877072052
Practice Fax Number 7877072591
Mailing Telephone 2102218274
Mailing Fax Number 2102952567
Enumeration Date 2012-09-17
Last Update Date 2016-02-01
Authorized Official Name HECTOR MORALES (CHIEF DHA PASS)
Authorized Official Telephone 2105366650
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332000000X Military/U.S. Coast Guard Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2136990 01

Other Provider/Organization Names

Other Name Type Code
BUCHANAN CALL-IN PHCY Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1548672173 Eisenhower Army Medical Center Military/U.S. Coast Guard Pharmacy Rodriguez Army Health Clinic (rahc), Bldg 21 Chrisman Rd., Fort Buchanan, PR 00934-3400 2014-06-02
1588868848 Eisenhower Army Medical Center Clinic/Center 320 Hospital Road, Fort Gordon, GA 30905 2007-06-12
1396949657 Eisenhower Army Medical Center Clinic/Center Building 25501, Brainard Avenue, Fort Gordon, GA 30905 2007-06-12
1619170198 Eisenhower Army Medical Center Clinic/Center 1701 Hardee Avenue, S.w., Fort Mcpherson, GA 30330 2007-06-11
1750584363 Eisenhower Army Medical Center Clinic/Center 1450 14th St, Hattiesburg, MS 39407-0001 2007-06-10
1104031194 Eisenhower Army Medical Center Clinic/Center 1001 Hardy St, Hattiesburg, MS 39401-4165 2007-05-11
1346302494 Eisenhower Army Medical Center Military Hospital 3395 Highland Park Pl, Memphis, TN 38111-4744 2006-12-15
1427131432 Eisenhower Army Medical Center Military/U.S. Coast Guard Pharmacy 29709 B Street, Fort Gordon, GA 30905-5741 2006-10-23
1104925361 Eisenhower Army Medical Center Military/U.S. Coast Guard Pharmacy Bldg 21, Ft Buchanan, PR 00934 2006-09-22
1609975036 Eisenhower Army Medical Center Military/U.S. Coast Guard Pharmacy 1001 Lee Avenue, Bldg 1302, Hattiesburg, MS 39401 2006-09-22

Office Location

Street Address BUILDING 21
21 CHRISMAN RD
City FT BUCHANAN
State PR
Zip Code 00934-3400

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932641297 Vision Solution LLC Optometrist Ft Buchanan Exchange Building 689, Ft Bucananan, Guaynabo, PR 00934 2016-11-17
1174805659 Danny Boulous Jaghab Dietitian, Registered 822 Dona Juana St, Ft Buchanan, PUERTO RICO 00934 2011-09-12
1457417982 Daniel Rodriguez Registered Nurse Rodriguez Army Health Clinic, Fort Buchanan, San Juan, PR 00934 2006-12-29
1104925361 Eisenhower Army Medical Center Military/U.S. Coast Guard Pharmacy Bldg 21, Ft Buchanan, PR 00934 2006-09-22
1326081456 National Vision, Inc. Eyewear Supplier (Equipment, not the service) Ft. Buchanan Exchange, National Vision Optical, Building 6, Ft. Buchanan, PR 00934 2006-06-14
1477588267 Heriberto Baezmartinez Specialist Chrisman Road, Fort Buchanan, PR 00934-0000 2006-07-11
1255412250 Hector M Perez Optometrist Bldg 689, Fort Buchanan, PR 00934-0461 2006-10-17
1548672173 Eisenhower Army Medical Center Military/U.S. Coast Guard Pharmacy Rodriguez Army Health Clinic (rahc), Bldg 21 Chrisman Rd., Fort Buchanan, PR 00934-3400 2014-06-02
1912068115 Norma Iris Gonzalez Psychologist 218 Brooks St. Blgd. 21, Rodriguez Army Health Clinic, Fort Buchanan, PR 00934-3400 2006-12-12
1568523256 Eddie Ismael Echevarria Registered Nurse 218 Brook St Bldg 21, Rodriguez Army Health Clinic, Fort Buchanan, PR 00934-4206 2006-12-13
Find all providers in zip 00934

Taxonomy Information

Taxonomy Code 332000000X
Grouping Suppliers
Classification Military/U.S. Coast Guard Pharmacy

Taxonomy Definition

A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services.
Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: new; 7/1/2006: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104925361 Eisenhower Army Medical Center Military/U.S. Coast Guard Pharmacy Bldg 21, Ft Buchanan, PR 00934 2006-09-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548672173 Eisenhower Army Medical Center Military/U.S. Coast Guard Pharmacy Rodriguez Army Health Clinic (rahc), Bldg 21 Chrisman Rd., Fort Buchanan, PR 00934-3400 2014-06-02
1285733444 Us Coast Guard Finance Center Military/U.S. Coast Guard Pharmacy La Plaza Bldg 850 Rm 110, Air Station Borinquen, Aguadilla, PR 00604 2006-09-22
1770798316 Eisenhower Army Medical Center Military/U.S. Coast Guard Pharmacy 21 Chrisman Rd, Fort Buchanan, PR 00934-4519 2007-05-14

Competitor

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City FT BUCHANAN
Zip Code 00934

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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