EISENHOWER ARMY MEDICAL CENTER (NPI# 1548672173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548672173 |
| Entity Type | Organization |
| Organization Name | EISENHOWER ARMY MEDICAL CENTER |
| Other Organization Name | DOD FT BUCHANAN EPHCY |
| Practice Address |
Rodriguez Army Health Clinic (rahc) Bldg 21 Chrisman Rd. Fort Buchanan PR 00934-3400 |
| Mailing Address |
Eisenhower Army Medical Center C/o Attn Mchf-pad 300 W Hospital Road Ft Gordon GA 30905-5741 |
| Practice Telephone | 7877072319 |
| Practice Fax Number | 7877072591 |
| Mailing Telephone | 7877072319 |
| Mailing Fax Number | 7877072591 |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2016-02-01 |
| Authorized Official Name | HECTOR MORALES (CHIEF DHA PASS) |
| Authorized Official Telephone | 2105366650 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2145989 | 01 |
| Other Name | Type Code |
|---|---|
| DoD FT BUCHANAN ePhcy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053661173 | Eisenhower Army Medical Center | Military/U.S. Coast Guard Pharmacy | Building 21, 21 Chrisman Rd, Ft Buchanan, PR 00934-3400 | 2012-09-17 |
| 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 |
| Street Address |
RODRIGUEZ ARMY HEALTH CLINIC (RAHC) BLDG 21 CHRISMAN RD. |
| City | FORT BUCHANAN |
| State | PR |
| Zip Code | 00934-3400 |
| 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 |
| 1053661173 | Eisenhower Army Medical Center | Military/U.S. Coast Guard Pharmacy | Building 21, 21 Chrisman Rd, Ft Buchanan, PR 00934-3400 | 2012-09-17 |
| 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 Code | 332000000X |
| Grouping | Suppliers |
| Classification | Military/U.S. Coast Guard Pharmacy |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770798316 | Eisenhower Army Medical Center | Military/U.S. Coast Guard Pharmacy | 21 Chrisman Rd, Fort Buchanan, PR 00934-4519 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053661173 | Eisenhower Army Medical Center | Military/U.S. Coast Guard Pharmacy | Building 21, 21 Chrisman Rd, Ft Buchanan, PR 00934-3400 | 2012-09-17 |
| 1104925361 | Eisenhower Army Medical Center | Military/U.S. Coast Guard Pharmacy | Bldg 21, Ft Buchanan, PR 00934 | 2006-09-22 |
| 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 |
| City | FORT BUCHANAN |
| Zip Code | 00934 |
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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.