National Provider Identifier Database

DWIGHT D EISENHOWER ARMY MEDICAL CENTER
Military General Acute Care Hospital

A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in ?fixed? facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A ?fixed? facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the ?fixed? facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as ?pass-through? items.


Contact Information

DWIGHT D EISENHOWER ARMY MEDICAL CENTER
300 E HOSPITAL RD
DWIGHT D. EISENHOWER ARMY MEDICAL CENTER
FORT GORDON, GA30905
Phone: 706-787-1647
Fax:
Website:
Specialty Taxonomy Code
* Military General Acute Care Hospital 2865M2000X

* Indicates primary specialty

NPI Profile & details for DWIGHT D EISENHOWER ARMY MEDICAL CENTER

NPI Number 1326480369
Legal business name
LBN
DWIGHT D EISENHOWER ARMY MEDICAL CENTER
Authorized official MICHAEL QUINN - (IM RESIDENCY PROGRAM DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 07/18/2013
Last updated 07/18/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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