Organization · Type 2 NPI
Eisenhower Army Medical Center
Military/U.S. Coast Guard Outpatient Clinic/Center · Hattiesburg, MS
Practice location
1001 Hardy St
Hattiesburg, MS 39401-4165
Mailing address
300 W Hospital Rd Bldg W, Attn Mchf-Pad
Fort Gordon, GA 30905-5741
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military/U.S. Coast Guard Outpatient Clinic/Center Primary | 261QM1100X | None listed |
Military/U.S. Coast Guard Outpatient Clinic/Center: 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 exam…
Other military/u.s. coast guard outpatient clinic/center providers in Hattiesburg
About NPI 1104031194
Eisenhower Army Medical Center's National Provider Identifier is 1104031194, issued on May 11, 2007. The primary taxonomy on file is Military/U.S. Coast Guard Outpatient Clinic/Center (261QM1100X), and the practice location is in Hattiesburg, MS. The record was last updated on Jan 29, 2013.