GUTHRIE AHC (NPI# 1780950030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780950030 |
| Entity Type | Organization |
| Organization Name | GUTHRIE AHC |
| Other Organization Name | DRUM WTU PHCY |
| Practice Address |
11050 Mount Belvedere Blvd Fort Drum NY 13602-5438 |
| Practice Telephone | 3157721453 |
| Practice Fax Number | 3157721691 |
| Mailing Telephone | 3157721453 |
| Mailing Fax Number | 3157721691 |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2016-02-17 |
| 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 | 2134474 | 01 |
| Other Name | Type Code |
|---|---|
| DRUM WTU PHCY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063902666 | Guthrie Ahc | Clinic/Center | P19914 M3r Tampa, Fort Drum, NY 13602 | 2018-05-18 |
| 1962823575 | Guthrie Ahc | Clinic/Center | 11050 Mount Beledere Blvd, Fort Drum, NY 13602 | 2013-12-27 |
| 1548681240 | Guthrie Ahc | Clinic/Center | 5th Armored Division Drive, Fort Drum, NY 13602 | 2013-12-23 |
| 1811192594 | Guthrie Ahc | Clinic/Center | 10720 Mt Belvedere Blvd, Suite A1-102, Fort Drum, NY 13602-5040 | 2007-06-20 |
| 1215091962 | Guthrie Ahc | Military/U.S. Coast Guard Pharmacy | Usa Meddhc 11050 Mt Belvedere Blvd, Ft Drum, NY 13601 | 2006-12-20 |
| 1336248798 | Guthrie Ahc | Military/U.S. Coast Guard Pharmacy | P10506 Second St, Ft Drum, NY 13602 | 2006-09-22 |
| 1881793255 | Guthrie Ahc | Military/U.S. Coast Guard Pharmacy | Munns Corners Rd P2065, Ft Drum, NY 13602 | 2006-09-22 |
| 1366863060 | Guthrie Ahc | Clinic/Center | 4th Armored Division Drive, Fort Drum, NY 13602 | 2013-12-23 |
| 1144565797 | Guthrie Ahc | Clinic/Center | 40 Franklin St, Carthage, NY 13619-1377 | 2012-12-10 |
| 1740486091 | Guthrie Ahc | Clinic/Center | 10590 Enduring Freedom Drive, Fort Drum, NY 13602 | 2007-06-25 |
| Street Address |
11050 MOUNT BELVEDERE BLVD |
| City | FORT DRUM |
| State | NY |
| Zip Code | 13602-5438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760471932 | Randall Alan Bischoff | Physician Assistant | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2005-10-19 |
| 1619582657 | Tarah Schmidt | Student in an Organized Health Care Education/Training Program | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2020-09-15 |
| 1538778832 | Daniel L Dettman | Physical Therapist | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2020-07-23 |
| 1942836978 | Christie Hurst | Licensed Practical Nurse | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2020-03-21 |
| 1679033112 | Taylor Nichole Singer | Psychologist | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2019-03-21 |
| 1134692361 | Drew Curtis Evans | Physician Assistant | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2019-01-10 |
| 1457834814 | Timothy Karnuth | Physician Assistant | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2018-09-12 |
| 1598248262 | Oscar Alfredo Garzon | Student in an Organized Health Care Education/Training Program | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2018-09-10 |
| 1912484684 | Jacob Papenfuss | Physical Therapist | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2018-07-25 |
| 1285124644 | Marjorie A Evans | Physician Assistant | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2018-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235697590 | Joshua Lee Hickman | Physician Assistant | Bldg P10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2019-03-06 |
| 1447721345 | Lisa Marie Lewis | Social Worker | 11044 Mount Belvedere Blvd, Fort Drum, NY 13602 | 2018-12-17 |
| 1720555253 | Elizabeth M Hover | Social Worker | P11050 Mt Belvedere Blvd, Fort Drum, NY 13602 | 2018-11-02 |
| 1376037424 | Phillip Dakotah Mitchell | Physician Assistant | 10020 Euphrates River Valley Road, Fort Drum, NY 13602 | 2018-06-20 |
| 1063902666 | Guthrie Ahc | Clinic/Center | P19914 M3r Tampa, Fort Drum, NY 13602 | 2018-05-18 |
| 1255846879 | Morgan Elizabeth Callari | Dental Hygienist | 10205 S Riva Ridge Loop, Fort Drum, NY 13602 | 2017-12-05 |
| 1609389097 | John Charles Bockmann | Physician Assistant | Connor Troop Medical Clinic, 10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2017-11-08 |
| 1902318207 | Nicholas Andrew Jones | Military Health Care Provider | 10506 S. Riva Ridge, Fort Drum, NY 13602 | 2017-10-26 |
| 1508389198 | Richard Scott Christiansen | Physical Therapist | 10330 S Riva Ridge Loop, Fort Drum, NY 13602 | 2017-07-25 |
| 1811418098 | Emer B Bajuelos | Dentist | Ft Drum W07uaa 10590, Ft Drum, Apo, AP 13602 | 2017-06-28 |
| Find all providers in zip 13602 | ||||
| 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 |
|---|---|---|---|---|
| 1053724807 | Gahcc-tpcp | Military/U.S. Coast Guard Pharmacy | Guthrie Ambulatory Health Care Clinic, 11050 Mt. Belvede, Fort Drum, NY 13602-5004 | 2014-06-10 |
| 1144553801 | Gahcc-tpcp | Military/U.S. Coast Guard Pharmacy | 10590 Enduring Freedom Dr., Fort Drum, NY 13602 | 2009-09-14 |
| 1790882546 | Guthrie Ahc | Military/U.S. Coast Guard Pharmacy | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275849937 | Gahacc | Military/U.S. Coast Guard Pharmacy | Euphrates River Valley Road, Bldg 10506, Ft Drum, NY 13602 | 2010-08-19 |
| 1265680292 | Gahcc-tpcp | Military/U.S. Coast Guard Pharmacy | Eduring Freedom Rd P10730a, Aafes Main Exchange, Ft Drum, NY 13602 | 2008-09-03 |
| 1215091962 | Guthrie Ahc | Military/U.S. Coast Guard Pharmacy | Usa Meddhc 11050 Mt Belvedere Blvd, Ft Drum, NY 13601 | 2006-12-20 |
| 1629131339 | Gahcc/tpcp | Military/U.S. Coast Guard Pharmacy | 110505 Mt Belvedere Blvd, Ft Drum, NY 13602 | 2006-12-18 |
| 1912006362 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 114 Rm 175, Ft Hamilton, NY 11252 | 2006-09-22 |
| 1336248798 | Guthrie Ahc | Military/U.S. Coast Guard Pharmacy | P10506 Second St, Ft Drum, NY 13602 | 2006-09-22 |
| 1881793255 | Guthrie Ahc | Military/U.S. Coast Guard Pharmacy | Munns Corners Rd P2065, Ft Drum, NY 13602 | 2006-09-22 |
| 1154420438 | Naval Health Clinic New England | Military/U.S. Coast Guard Pharmacy | Navy Branch Medical Clinic, One West Ave Suite 230, Saratoga Springs, NY 12866 | 2006-09-22 |
| 1063511343 | New York Activities Uscg | Military/U.S. Coast Guard Pharmacy | Commander Uscg Activities Ny, 215 Drum Road Rm D113, Staten Island, NY 10305 | 2006-09-22 |
| 1861898942 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 114 White Ave, Brooklyn, NY 11252-9503 | 2014-11-17 |
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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.