IRELAND ARMY COMMUNITY HOSPITAL


Address: 410 Mitchell, Selfridge Air Base, MI 48045
Phone: 5863075527

IRELAND ARMY COMMUNITY HOSPITAL (NPI# 1568561983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568561983
Entity Type Organization
Organization Name IRELAND ARMY COMMUNITY HOSPITAL
Other Organization Name SELFRIDGE ANG PHCY
Practice Address 410 Mitchell
Selfridge Air Base
MI 48045
Practice Telephone 5863075527
Practice Fax Number 5867820553
Mailing Telephone 5863075527
Mailing Fax Number 5867820553
Enumeration Date 2006-09-22
Last Update Date 2016-01-15
Authorized Official Name HECTOR MORALES (CHIEF DHA PASS)
Authorized Official Telephone 2105366650
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332000000X Military/U.S. Coast Guard Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2044519 01

Other Provider/Organization Names

Other Name Type Code
SELFRIDGE ANG PHCY Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1912313222 Ireland Army Community Hospital Military/U.S. Coast Guard Pharmacy Bldg 110 Rodman Ave., Rock Island Arsenal, IL 61299-7240 2014-07-08
1801039417 Ireland Army Community Hospital Military/U.S. Coast Guard Pharmacy Evans Road, Bldg 2, Camp Atterbury, IN 46124-5000 2009-04-13
1316142631 Ireland Army Community Hospital Clinic/Center Bldg 2 Evans Road, Camp Atterbury, IN 46124 2007-06-18
1225233547 Ireland Army Community Hospital Clinic/Center 2724 Brave Rifles Regiment Avenue, Fort Knox, KY 40121 2007-06-18
1528276516 Ireland Army Community Hospital Military/U.S. Coast Guard Pharmacy Bldg 5949 15th Calvary Div Rd, Fort Knox, KY 40121-5111 2007-05-21
1700092509 Ireland Army Community Hospital Clinic/Center 1679 S 10th Ave, Mccoy Ohc, Fort Mccoy, WI 54656-5114 2007-05-16
1740496124 Ireland Army Community Hospital Clinic/Center Bldg 2 Evans Rd, Camp Atterbury, IN 46124 2007-05-15
1104032754 Ireland Army Community Hospital Clinic/Center 2091 Kingston Hwy, Attn Blue Grass Health Clinic, Richmond, KY 40475-5000 2007-05-14
1841405388 Ireland Army Community Hospital Military/U.S. Coast Guard Pharmacy 110 Rodman Ave, Rock Island, IL 61299-0001 2007-05-10
1922142991 Ireland Army Community Hospital General Acute Care Hospital Bldg. 851 289 Ireland Ave. Army Community Hospital, Fort Knox, KY 40121-5111 2007-02-16

Office Location

Street Address 410 MITCHELL
City SELFRIDGE AIR BASE
State MI
Zip Code 48045

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447602040 Integrated Solution LLC Social Worker 24791 Parkside St., Apt. 206, Harrison Township, MI 48045 2016-07-07
1598908352 Andrew Frank Langlois Pharmacist 28350 S.river Rd, Harrison Twp, MI 48045 2009-04-09
1629241559 Brandon Charles Holda Technician, Other 43401 N. Jefferson Bldg #825, Selfridge Angb, MI 48045 2008-04-11
1902022601 Detroit Uscg Phcy Military/U.S. Coast Guard Pharmacy 43355 North Jefferson, Uscg Clinic - Bldg 825, Detroit, MI 48045 2007-04-18
1477620755 Uscg Clinic Sector Detroit Clinic/Center 43401 N. Jefferson, Bldg 825, Selfridge Angb, MI 48045 2006-11-29
1477661700 Bridgeview Chiropractic Center Chiropractor 28326 S River Rd, Harrison Twp, MI 48045 2006-08-28
1851362586 St. John Hospital and Medical Center General Acute Care Hospital 26755 Ballard Road, Harrison Township, MI 48045 2006-01-31
1013256296 Mclaren Macomb Emergency Medicine 39833 Bridgeview St, Harrison Township, MI 48045 2013-02-07
1265467682 Venkateswara Rao Malineni Psychiatry & Neurology 215 North Ave, St Joseph Specialty Hospital 215, Mt Clemens, MI 48045 2006-07-12
1679908438 Complete Chiropractic Clinic Pllc Chiropractor 25325 Henry B Joy Blvd, Harrison Twp, MI 48045-1321 2013-09-11
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Taxonomy Information

Taxonomy Code 332000000X
Grouping Suppliers
Classification Military/U.S. Coast Guard Pharmacy

Taxonomy Definition

A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services.
Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: new; 7/1/2006: modified title, modified definition]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902022601 Detroit Uscg Phcy Military/U.S. Coast Guard Pharmacy 43355 North Jefferson, Uscg Clinic - Bldg 825, Detroit, MI 48045 2007-04-18
1891892642 Traverse City Uscg Phcy Military/U.S. Coast Guard Pharmacy 1175 Airport Access Rd, Traverse City, MI 49686-3513 2006-09-20

Competitor

Search similar providers

City SELFRIDGE AIR BASE
Zip Code 48045

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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