IRELAND ARMY COMMUNITY HOSPITAL


Address: Pharm Bldg 110, Usa Health Clinic, Rock Island, IL 61299-0001
Phone: 3097820550

IRELAND ARMY COMMUNITY HOSPITAL (NPI# 1720185572) 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) 1720185572
Entity Type Organization
Organization Name IRELAND ARMY COMMUNITY HOSPITAL
Other Organization Name ROCK ISLAND ARSENAL PHCY
Practice Address Pharm Bldg 110
Usa Health Clinic
Rock Island
IL 61299-0001
Mailing Address 110 Rodman Ave
Rock Island
IL 61299-0001
Practice Telephone 3097820550
Practice Fax Number 3097820553
Mailing Telephone 5026249274
Mailing Fax Number 3097820553
Enumeration Date 2006-09-20
Last Update Date 2015-08-20
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 2024964 01

Other Provider/Organization Names

Other Name Type Code
ROCK ISLAND ARSENAL PHCY Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address PHARM BLDG 110
USA HEALTH CLINIC
City ROCK ISLAND
State IL
Zip Code 61299-0001

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154631810 Kelly Ann Guerra Physician Assistant Us Army Hc - Rock Island Arsenal Health Clinic (riahc), Attn: Mcxm-dmc, Bldg. 110 (basement), Rock Island Arsenal, IL 61299 2010-10-15
1972583631 Robert Thomas Pero Preventive Medicine Building 110 South Rodman Avenue, Rock Island Arsenal, IL 61299 2006-01-19
1942783246 Blanchfield Army Community Hospital Military/U.S. Coast Guard Pharmacy Bldg 110 Pharm Usa Health Clinic, Rock Island, IL 61299-0001 2018-09-12
1841405388 Ireland Army Community Hospital Military/U.S. Coast Guard Pharmacy 110 Rodman Ave, Rock Island, IL 61299-0001 2007-05-10
1457453037 Joseph Anthony Bowen Technician, Other 218 Rock Island Ave, Rock Island, IL 61299-0001 2006-09-02
1457835456 Blanchfield Army Community Hospital Military/U.S. Coast Guard Pharmacy Bldg 110 Pharm Usa Health Clinic, Rock Island, IL 61299-0001 2018-09-17
1164612636 Rita Baugh Social Worker Rock Island Arsenal, Gillespie St. Bldg. 131, Rock Island, IL 61299-5001 2007-07-30
1912313222 Ireland Army Community Hospital Military/U.S. Coast Guard Pharmacy Bldg 110 Rodman Ave., Rock Island Arsenal, IL 61299-7240 2014-07-08
1033199195 Arthur B Cajigal Preventive Medicine Rock Island Arsenal Health Clinic (riahc), Bldg 110 (basement), Rock Island, IL 61299-7240 2006-01-17
1306824925 Jeffery M Jauron Family Medicine Rock Island Arsenal, 1 Rock Island, Rock Island, IL 61299-7240 2006-01-04
Find all providers in zip 61299

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
1942783246 Blanchfield Army Community Hospital Military/U.S. Coast Guard Pharmacy Bldg 110 Pharm Usa Health Clinic, Rock Island, IL 61299-0001 2018-09-12
1841405388 Ireland Army Community Hospital Military/U.S. Coast Guard Pharmacy 110 Rodman Ave, Rock Island, IL 61299-0001 2007-05-10
1457835456 Blanchfield Army Community Hospital Military/U.S. Coast Guard Pharmacy Bldg 110 Pharm Usa Health Clinic, Rock Island, IL 61299-0001 2018-09-17

Providers in the same taxonomy and state

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
1043625981 James A Lovell Fhcc Military/U.S. Coast Guard Pharmacy 2630 Green Bay Rd Bldg 3452, North Chicago, IL 60088-3303 2014-06-30
1164730602 James A Lovell Federal Health Care Center Military/U.S. Coast Guard Pharmacy 2430 Illinois Street, Great Lakes, IL 60088 2010-09-17
1598073439 James A Lovell Federal Health Care Center Military/U.S. Coast Guard Pharmacy 2430 Illinois St, Bldg 1007, Great Lakes, IL 60088 2010-09-14
1831406719 James A Lovell Federal Health Care Center Military/U.S. Coast Guard Pharmacy 3440 Ohio St, Bldg 1017, Great Lakes, IL 60088-3155 2010-09-13
1790092674 James A Lovell Federal Health Care Center Military/U.S. Coast Guard Pharmacy 2630 Green Bay Rd, Bldg 3452, Great Lakes, IL 60088-3303 2010-09-13
1508965120 James A Lovell Fhcc Military/U.S. Coast Guard Pharmacy 2470 Sampson St Bldg 237, Great Lakes, IL 60088-2942 2006-09-21
1336248962 James A Lovell Fhcc Military/U.S. Coast Guard Pharmacy 3452 Greenbay Rd Bldg 3452, Great Lakes, IL 60088 2006-09-21
1447665690 James A Lovell Fhcc Military/U.S. Coast Guard Pharmacy 2470 Sampson St Bldg 237, North Chicago, IL 60088-2942 2014-06-26
1538574777 James A Lovell Federal Health Care Center Military/U.S. Coast Guard Pharmacy 2410 Sampson St Bldg 237, Great Lakes, IL 60088-2942 2014-06-26
Find all providers with the same taxonomy

Competitor

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City ROCK ISLAND
Zip Code 61299

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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