MEDICARE: EISENHOWER ARMY MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332000000X	Military/U.S. Coast Guard Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1147102	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1578662250
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EISENHOWER ARMY MEDICAL CENTER

Provider Business Mailing Address
First Line	:	300 W HOSPITAL RD
Second Line	:	ATTN MCHF-PAD
City	:	FORT GORDON
State	:	GA
Zip	:	30905-5741
Country	:	US
Telephone Number	:	706-787-1125
Fax Number	:

Provider Business Practice Location Address
First Line	:	1701 HARDEE AVE SW
Second Line	:	BLDG 125
City	:	FT MCPHERSON
State	:	GA
Zip	:	30330
Country	:	US
Telephone Number	:	404-464-0306
Fax Number	:	404-464-0303

Authorized Official
Title or Position	:	MGR PHRMCY OPERATIONS CNTR
Name	:	HECTOR MORALES
Credential	:
Telephone Number	:	210-221-8274

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	02/13/2013

Similar Medicare Providers

1346230208 — DR. ROBERT J DANIELL PH.D.
Practice Location Address:

1701 HARDEE AVE SW
FT MCPHERSON, GA
30330-1062

Practice Phone: 404-464-3562
Practice Fax: 404-464-4764

1396735932 — MS. MERRI BARTON SLICK LCSW
Practice Location Address:

1701 HARDEE AVE SW
FT MCPHERSON, GA
30330-1062

Practice Phone: 404-464-2200
Practice Fax: 404-464-4764

1720095680 — LARRY ONEAL FRANCE PA
Practice Location Address:

1777 HARDEE AVE SW
FT MCPHERSON, GA
30330-1062

Practice Phone: 404-464-6335
Practice Fax: 404-464-7512

1023190410 — MRS. KENDA KAY JEFFERSON RPH
Practice Location Address:

1701 HARDEE AVE SW , ATTN: PHARMACY SERVICE
FT. MCPHERSON, GA
30330-1062

Practice Phone: 404-464-0296
Practice Fax: 404-464-0303

1265516470 — LAWRENCE JOEL ARMY HEALTH CLINIC
Practice Location Address:

1701 HARDEE AVE
FT MCPHERSON, GA
30330

Practice Phone: 404-464-0304
Practice Fax: 404-464-0303

1316017619 — MRS. JACQUELINE HOOKS LANGSTON CNM
Practice Location Address:

1701 HARDEE AVE SW
FT. MCPHERSON, GA
30330-1062

Practice Phone: 404-464-0320
Practice Fax:

Directions to “EISENHOWER ARMY MEDICAL CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.