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NPI Code Detail

MEDICARE: IRWIN ARMY COMMUNITY HOSPITAL

MEDICARE: IRWIN ARMY COMMUNITY HOSPITAL
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
1261QM1100XMilitary/U.S. Coast Guard Outpatient Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11649218264OTHERPARENT NPI

General Provider Information

NPI Number : 1669689725
Entity Type Code : Organization
Provider Name (Legal Business Name) : IRWIN ARMY COMMUNITY HOSPITAL
Provider Business Mailing Address
First Line : 600 CAISSON HILL RD
Second Line : ATTN UBO
City : FORT RILEY
State : KS
Zip : 66442-7037
Country : US
Telephone Number : 785-239-7724
Fax Number :
Provider Business Practice Location Address
First Line : 8072 NORMANDY DR
Second Line :
City : FORT RILEY
State : KS
Zip : 66442-7069
Country : US
Telephone Number : 785-239-7000
Fax Number :
Authorized Official
Title or Position : UBO MANAGER
Name : DEBORAH BUCHMAN
Credential :
Telephone Number : 785-239-7724
Provider Enumeration Date : 05/17/2007
Last Update Date : 01/07/2013

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Directions to “IRWIN ARMY COMMUNITY HOSPITAL ” Practice Location

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