National Provider Identifier Database

AHC MCDONALD EUSTIS
Military and U.S. Coast Guard Ambulatory Procedure

That part of a ?fixed? (non-temporary, non-deployed) DoD or Coast Guard entity furnishing surgical procedures requiring medically supervised recovery. Similar to a civilian ambulatory surgical center. May be in shared resources with a DoD or Coast Guard Clinic or a DoD Hospital. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial ?take home? pharmaceuticals.


Contact Information

AHC MCDONALD-EUSTIS
579 JEFFERSON AVE
FORT EUSTIS, VA23604
Phone: 757-314-7500
Fax:
Website:
Specialty Taxonomy Code
* Military and U.S. Coast Guard Ambulatory Procedure 261QM1101X
Military/U.S. Coast Guard Outpatient 261QM1100X

* Indicates primary specialty

NPI Profile & details for AHC MCDONALD-EUSTIS

NPI Number 1922199066
Legal business name
LBN
AHC MCDONALD-EUSTIS
Authorized official NA'KEESHA DE'BOSE - (UBO MANAGER)
Entity Organization
Organization subpart Yes
Enumeration date 09/27/2006
Last updated 05/22/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • Other: 4830419 NCPDP
  • VA Other: 266569 BLUE SHIELD PROVIDER NUMB
  • VA Other: 007316 TRIGON PROVIDER NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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