IRELAND ARMY COMMUNITY HOSPITAL (NPI# 1558460188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558460188 |
Entity Type | Organization |
Organization Name | IRELAND ARMY COMMUNITY HOSPITAL |
Other Organization Name | KNOX PX PHCY |
Practice Address |
Bldg 127 Gold Vault Rd Ft Knox KY 40121 |
Mailing Address |
289 Ireland Ave Attn: Treasurers Office Fort Knox KY 40121-5111 |
Practice Telephone | 5026249264 |
Practice Fax Number | 5026249252 |
Mailing Telephone | 5026249274 |
Enumeration Date | 2006-09-21 |
Last Update Date | 2015-06-24 |
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 | 2033242 | 01 |
Other Name | Type Code |
---|---|
KNOX PX PHCY | 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 |
1225233547 | Ireland Army Community Hospital | Clinic/Center | 2724 Brave Rifles Regiment Avenue, Fort Knox, KY 40121 | 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 |
Street Address |
BLDG 127 GOLD VAULT RD |
City | FT 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 |
1225233547 | Ireland Army Community Hospital | Clinic/Center | 2724 Brave Rifles Regiment Avenue, Fort Knox, KY 40121 | 2007-06-18 |
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 |
Find all providers in zip 40121 |
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 |
---|---|---|---|---|
1780783324 | Ireland Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 15th Cav Rd Bldg 5949, Ft Knox, KY 40121 | 2006-09-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215340401 | Blanchfield Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 98a Michigan Ave, Fort Campbell, KY 42223-5622 | 2014-06-05 |
1376982413 | Blanchfield Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 650 Joel Dr Bldg B, Fort Campbell, KY 42223-5318 | 2013-06-21 |
1457643231 | Blanchfield Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 7973 Strike Blvd, Fort Campbell, KY 42223 | 2011-05-11 |
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 |
1871692418 | Blanchfield Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Building 103, Blanchfield Army Comm Hosp, Ft Campbell, KY 42223 | 2006-09-21 |
1114026747 | Blanchfield Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Post Exchange, Building 2840, Ft Campbell, KY 42223 | 2006-09-21 |
1730288366 | Blanchfield Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 650 Joel Dr Rm 1bg01, Blanchfield Army Comm Hosp, Fort Campbell, KY 42223-5318 | 2006-09-21 |
1275630022 | Blanchfield Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 650 Joel Dr Bldg 98, Fort Campbell, KY 42223-5318 | 2006-09-20 |
1366549115 | Blanchfield Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 5979 Desert Storm Ave, Fort Campbell, KY 42223-5514 | 2006-09-20 |
1679986863 | Ireland Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 289 Ireland Ave, Ireland Army Community Hospital, Fort Knox, KY 40121-5111 | 2014-06-05 |
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.