IRELAND ARMY COMMUNITY HOSPITAL (NPI# 1841405388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841405388 |
| Entity Type | Organization |
| Organization Name | IRELAND ARMY COMMUNITY HOSPITAL |
| Other Organization Name | ROCK ISLAND ARSENAL AHC |
| Practice Address |
110 Rodman Ave Rock Island IL 61299-0001 |
| Mailing Address |
289 Ireland Ave Attn: Treasurers Office Fort Knox KY 40121-5111 |
| Practice Telephone | 3097820805 |
| Mailing Telephone | 5026249274 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2015-04-01 |
| 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 |
|---|---|---|---|---|---|
| N | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers | ||
| 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 | |
| MEDCO | AN2598588 | 01 |
| Other Name | Type Code |
|---|---|
| ROCK ISLAND ARSENAL AHC | 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 |
| 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 |
110 RODMAN AVE |
| City | ROCK ISLAND |
| State | IL |
| Zip Code | 61299-0001 |
| 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 |
| 1720185572 | Ireland Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Pharm Bldg 110, Usa Health Clinic, Rock Island, IL 61299-0001 | 2006-09-20 |
| 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 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 |
|---|---|---|---|---|
| 1144557208 | Naval Health Clinic Great Lakes | Clinic/Center | 3350 Illinois St, Great Lakes, IL 60088-5230 | 2009-11-11 |
| 1801858741 | James A Lovell Fhcc | Clinic/Center | 2470 Sampson Street, Bldg 237, Great Lakes, IL 60088 | 2006-04-05 |
| 1376852152 | James A Lovell Federal Health Care Center | Clinic/Center | 3001 6th St Ste A, Great Lakes, IL 60088-2833 | 2010-09-28 |
| 1831383108 | Nbhc Ntc Great Lakes | Clinic/Center | 3001 6th St Ste A, Great Lakes, IL 60088-2833 | 2007-08-30 |
| 1922292291 | Nbhc Nctc Inpr Great Lakes | Clinic/Center | 3001 6th St Ste A, Great Lakes, IL 60088-2833 | 2007-08-30 |
| 1912191271 | Bdc Kansas City | Clinic/Center | 3001 6th St Ste A, Great Lakes, IL 60088-2833 | 2007-08-30 |
| 1295928257 | Nbhc Nctc Great Lakes | Clinic/Center | 3001 6th St Ste A, Great Lakes, IL 60088-2833 | 2007-08-23 |
| City | ROCK ISLAND |
| Zip Code | 61299 |
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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.