Organization · Type 2 NPI

Guthrie Ahc

Military/U.S. Coast Guard Outpatient Clinic/Center · Fort Drum, NY

NPI number 1457556136 Active

Practice location

10205 N Riva Ridge Loop, Suite P10205
Fort Drum, NY 13602-5457

Call (315) 772-8891 Map

Mailing address

11050 Mount Belvedere Blvd, Ubo
Fort Drum, NY 13602-5438

Specialties and licenses

TaxonomyCodeLicense
Military/U.S. Coast Guard Outpatient Clinic/Center Primary 261QM1100XNone 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…

4 other providers at this address

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About NPI 1457556136

Guthrie Ahc's National Provider Identifier is 1457556136, issued on Jun 20, 2007. The primary taxonomy on file is Military/U.S. Coast Guard Outpatient Clinic/Center (261QM1100X), and the practice location is in Fort Drum, NY. The record was last updated on Mar 26, 2015.