IRELAND ARMY COMMUNITY HOSPITAL (NPI# 1225233547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225233547 |
Entity Type | Organization |
Organization Name | IRELAND ARMY COMMUNITY HOSPITAL |
Other Organization Name | USADC FT. KNOX JORDAN |
Practice Address |
2724 Brave Rifles Regiment Avenue Fort Knox KY 40121 |
Mailing Address |
289 Ireland Ave Attn: Treasurers Office Fort Knox KY 40121-5111 |
Practice Telephone | 5026247313 |
Mailing Telephone | 5026249274 |
Enumeration Date | 2007-06-18 |
Last Update Date | 2015-04-02 |
Authorized Official Name | BARBARA HORNBACK (UBO MANAGER) |
Authorized Official Telephone | 5026249870 |
Is Organization Subpart | Y |
Parent Organization Name | IRELAND ARMY COMMUNITY HOSPITAL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1100X |
Clinic/Center Specialization: Military/U.S. Coast Guard Outpatient |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PARENT FACILITY IRELAND ACH NPI | 1891899274 | 01 |
Other Name | Type Code |
---|---|
USADC FT. KNOX JORDAN | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912313222 | Ireland Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 110 Rodman Ave., Rock Island Arsenal, IL 61299-7240 | 2014-07-08 |
1801039417 | Ireland Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Evans Road, Bldg 2, Camp Atterbury, IN 46124-5000 | 2009-04-13 |
1316142631 | Ireland Army Community Hospital | Clinic/Center | Bldg 2 Evans Road, Camp Atterbury, IN 46124 | 2007-06-18 |
1528276516 | Ireland Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 5949 15th Calvary Div Rd, Fort Knox, KY 40121-5111 | 2007-05-21 |
1700092509 | Ireland Army Community Hospital | Clinic/Center | 1679 S 10th Ave, Mccoy Ohc, Fort Mccoy, WI 54656-5114 | 2007-05-16 |
1740496124 | Ireland Army Community Hospital | Clinic/Center | Bldg 2 Evans Rd, Camp Atterbury, IN 46124 | 2007-05-15 |
1104032754 | Ireland Army Community Hospital | Clinic/Center | 2091 Kingston Hwy, Attn Blue Grass Health Clinic, Richmond, KY 40475-5000 | 2007-05-14 |
1841405388 | Ireland Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 110 Rodman Ave, Rock Island, IL 61299-0001 | 2007-05-10 |
1922142991 | Ireland Army Community Hospital | General Acute Care Hospital | Bldg. 851 289 Ireland Ave. Army Community Hospital, Fort Knox, KY 40121-5111 | 2007-02-16 |
1568561983 | Ireland Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 410 Mitchell, Selfridge Air Base, MI 48045 | 2006-09-22 |
Street Address |
2724 BRAVE RIFLES REGIMENT AVENUE |
City | FORT KNOX |
State | KY |
Zip Code | 40121 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588141543 | Noah M Christopher | Dentist | Bldg 1022, Rm 226, 398 192nd Armored Tank Bn Road, Fort Knox, KY 40121 | 2018-07-23 |
1043736812 | Amanda Gani | Pharmacist | 6289 Clairborne Street, Margetis Bldg, Fort Knox, KY 40121 | 2017-08-14 |
1922541937 | National Vision, Inc. | Technician/Technologist | Bldg 127 Gold Vault Ave, Fort Knox, KY 40121 | 2016-11-22 |
1154873602 | Karen Patrice Kimble | Dental Assistant | 398 192nd Armored Tank Bn Road, Fort Knox, KY 40121 | 2016-11-01 |
1144634577 | James Henry Martineau | Dentist | 968 1st Infantry Division Road, Jordan Dental Clinic (bldg 2724, Fort Knox, KY 40121 | 2014-06-13 |
1073751806 | Lori L Hill | Speech-Language Pathologist | 1411 B 4th Ave, Fort Knox, KY 40121 | 2009-02-02 |
1619090032 | Marcus Franklin | Pharmacist | Ireland Loop Bldg 851, Pharmacy Service, Ft. Knox, KY 40121 | 2007-04-09 |
1558404699 | Sonia Mills | Psychologist | 433 192nd Armored Tank Bn Rd, Building 853, Fort Knox, KY 40121 | 2007-02-15 |
1932250487 | Morgan Ann Brissette | Nurse Practitioner | 4286 Oakland Avenue, Fort Knox, KY 40121 | 2007-01-12 |
1659448629 | Brenda Lee Kays | Massage Therapist | 850 Radio St., Fort Knox, KY 40121 | 2006-11-29 |
Find all providers in zip 40121 |
Taxonomy Code | 261QM1100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Military/U.S. Coast Guard Outpatient |
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. |
Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: title modified, definition added; 7/1/2006 title modified, definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295930683 | Ireland Army Community Hospital | Clinic/Center | 851 Ireland Ave, Fort Knox, KY 40121-2722 | 2007-06-18 |
1609082403 | Ireland Army Community Hospital | Clinic/Center | 289 Ireland Ave, Tmc 5, Fort Knox, KY 40121-5111 | 2007-05-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396145306 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 2403, Air Assault St and Indiana Ave, Fort Campbell, KY 42223 | 2014-08-27 |
1659785053 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 6747 A Shau Valley Road, Fort Campbell, KY 42223 | 2014-06-13 |
1336575497 | Blanchfield Army Community Hospital | Clinic/Center | Toccoa Road Bldg 70344, Fort Campbell, KY 42223-5318 | 2013-09-20 |
1518393677 | Blanchfield Army Community Hospital | Clinic/Center | 53rd Street and Indiana Ave, Bldg 3929, Fort Campbell, KY 42223-5318 | 2013-09-20 |
1427484583 | Blanchfield Army Community Hospital | Clinic/Center | 55th Street and Indiana Avenue, Bldg 3960, Fort Campbell, KY 42223-5318 | 2013-09-20 |
1154757219 | Blanchfield Army Community Hospital | Clinic/Center | 30th Street and Desert Storm Avenue, Bldg 6988, Fort Campbell, KY 42223-5318 | 2013-09-20 |
1770872251 | Blanchfield Army Community Hospital | Clinic/Center | 7973 Strike Blvd, Us Army Dental Clinic Adkins, Ft Campbell, KY 42223 | 2011-04-05 |
1306094909 | Blanchfield Army Community Hospital | Clinic/Center | 35th & Desert Storm, Bldg 5980, Fort Campbell, KY 42223 | 2008-09-08 |
1457556912 | Blanchfield Army Community Hospital | Clinic/Center | Indiana & 49th Street, Building 3603, Fort Campbell, KY 42223 | 2007-06-15 |
1215131933 | Blanchfield Army Community Hospital | Clinic/Center | 5580 Desert Storm Ave, Fort Campbell, KY 42223-5586 | 2007-06-14 |
Find all providers with the same taxonomy |
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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.