GUTHRIE AHC NPI 1730247156

NPI Information

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

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NPI Details

GUTHRIE AHC 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. GUTHRIE AHC NPI is 1730247156. The provider is registered as an organization entity type.
The provider Other Name Is Ahc Guthrie-drum.

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 Nancy Draper .
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 7/15/2016.

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
1261QM1100XClinic/CenterMilitary/U.S. Coast Guard OutpatientYes

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
1OTH000MEDICARE UPIN
24400024OTHERGHI
33311521OTHERNCPDP
4VAD000MEDICARE UPIN

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: 3/30/2025

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