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Ireland Army Community Hospital

Clinic/Center, MilitaryU.S. Coast Guard Outpatient in Fort McCoy, WI. Organization (NPI-2).

NPI number1265647705
StatusActive
Last updated in NPPESApr 11, 2014

Details

NPI
1265647705
Entity type
Organization (NPI-2)
Legal business name
Ireland Army Community Hospital
Organization subpart
Yes
Enumeration date
May 10, 2007
Last updated
Apr 11, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient––Yes

Other names

  • Tmc Contract Sparta (Doing Business As)

Practice location

2669 W Regimental Ave
Bldg 2669
Fort McCoy, WI 54656-5229

Phone 502-624-9928

Mailing address

289 Ireland Ave
Attn: Treasurers Office
Fort Knox, KY 40121-5111

Phone 502-624-9274

Authorized official

Barbara Hornback
Ubo Manager
5026249870

Is something wrong?

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