Guthrie Ahc
Clinic/Center, MilitaryU.S. Coast Guard Outpatient in Fort Drum, NY. Organization (NPI-2).
Details
- NPI
- 1164637112
- Entity type
- Organization (NPI-2)
- Legal business name
- Guthrie Ahc
- Organization subpart
- Yes
- Enumeration date
- May 13, 2007
- Last updated
- Mar 23, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1100X | Clinic/Center, MilitaryU.S. Coast Guard Outpatient | – | – | Yes |
Other names
- Ohc-Watervliet (Doing Business As)
Practice location
10205 N Riva Ridge LoopSuite P36
Fort Drum, NY 13602-5457
Phone 315-772-2778
Mailing address
11050 Mount Belvedere BlvdUbo
Fort Drum, NY 13602-5438
Phone 315-772-4033
Authorized official
Nancy Draper
Acting Ubo Manager
3157721755
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 10 Military/U.S. Coast Guard Outpatient Clinic/Center providers in Fort Drum · All 502 providers in Fort Drum
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