AHC GUTHRIE-DRUM NPI 1730247156

NPI Information

NPI: 1730247156
Provider Name: AHC GUTHRIE-DRUM
Classification: Clinic/Center - 261QM1100X
Specialization: Military/U.S. Coast Guard Outpatient
Entity Type: Organization
:
Address: 11050 MOUNT BELVEDERE BLVD
UBO
FORT DRUM, NY
ZIP 13602
Phone: (315) 772-4033

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NPI Details

AHC GUTHRIE-DRUM is a military/u.s. coast guard outpatient clinic center in Fort Drum, NY. The provider is the Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. AHC GUTHRIE-DRUM NPI is 1730247156. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

11050 MOUNT BELVEDERE BLVD
UBO
FORT DRUM, NY
ZIP 13602-438
Phone: (315) 772-4033
Fax: (315) 772-1553

The provider's authorized official is Sarah Erb .
The authorized official title is Ubo Manager and has the following contact phone number (315) 772-1755.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 5/22/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1100X	Clinic/Center	Military/U.S. Coast Guard Outpatient			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4400024	OTHER		GHI
2	3311521	OTHER		NCPDP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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