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OHC-WATERVLIET
NPI 1164637112
Clinic/Center - Military/U.S. Coast Guard Outpatient in Fort Drum, NY

Active since May 13, 2007
10205 N RIVA RIDGE LOOP, SUITE P36, FORT DRUM, NY 13602(315) 772-2778 Get Directions Write a Review

NPPES record last updated: March 23, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ohc-watervliet NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OHC-WATERVLIET (NPI 1164637112) is a healthcare organization registered as a military/u.s. coast guard outpatient in Fort Drum, New York and active in the NPI registry since May 2007. The organization lists Nancy Draper, Acting Ubo Manager, as its authorized official.

NPPES Registry Identity

NPI1164637112
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business NameGUTHRIE AHC
Location Address10205 N RIVA RIDGE LOOP, SUITE P36Fort Drum, NY 13602-5457
Mailing Address11050 Mount Belvedere Blvd, UboFort Drum, NY 13602-5438 · (315) 772-4033
Phone(315) 772-2778
Organization SubpartYes
Authorized OfficialNancy DraperActing Ubo Manager · (315) 772-1755
Enumeration DateMay 13, 2007
Last NPPES UpdateMarch 23, 2015
✔ NPI 1164637112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Military/U.S. Coast Guard OutpatientAmbulatory Health Care Facilities
Taxonomy Code261QM1100X
Definition
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.
10205 N RIVA RIDGE LOOP, Fort Drum, NY 13602
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Other Names 1

Doing Business AsOhc-watervliet

Other Identifiers 2

Medicare UPINVAD000
Medicare UPINOTH000

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GUTHRIE AHC
Clinic/Center (Military/U.S. Coast Guard Outpatient)
10205 N RIVA RIDGE LOOP, SUITE P10506
FORT DRUM, NY 13602
Jefferson County (315) 772-2778
GUTHRIE AHC
Clinic/Center (Military/U.S. Coast Guard Outpatient)
10205 N RIVA RIDGE LOOP, SUITE P10205
FORT DRUM, NY 13602
Jefferson County (315) 772-8891
DR. MARK W FAGAN DDS
Dentist (Prosthodontics)
10205 N RIVA RIDGE LOOP
FORT DRUM, NY 13602
Jefferson County (315) 772-5088
MRS. JESSICA MARIE SOUTHEARD R.D.H
Dental Hygienist
10205 N RIVA RIDGE LOOP
FORT DRUM, NY 13602
Jefferson County (315) 772-8843

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Guthrie Ahc's NPI number?

The NPI number for Guthrie Ahc is 1164637112. It was assigned to this organization in the NPPES registry on May 13, 2007. The provider is doing business as Ohc-Watervliet.

Where is Guthrie Ahc located?

Guthrie Ahc is located at 10205 N Riva Ridge Loop Suite P36, Fort Drum, NY 13602. The listed phone number is (315) 772-2778.

What is Guthrie Ahc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient, with taxonomy code 261QM1100X.

When was this NPI record last updated?

The NPPES record for Guthrie Ahc was last updated on March 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.