USADC FT. GORDON ORAL HLTH CTR
NPI 1346443017
Clinic/Center - Military/U.S. Coast Guard Outpatient in Fort Gordon, GA

Q: What is Eisenhower Army Medical Center's NPI number?

The NPI number for Eisenhower Army Medical Center is 1346443017. It was assigned to this organization in the NPPES registry on June 8, 2007. The provider is doing business as Usadc Ft. Gordon Oral Hlth Ctr.

Q: What is Eisenhower Army Medical Center's specialty?

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

Active since June 08, 2007

300 W HOSPITAL RD, USA ORAL HEALTH CENTER, FORT GORDON, GA 30905(706) 787-2601 Get Directions Write a Review

NPPES record last updated: January 29, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Usadc Ft. Gordon Oral Hlth Ctr NPPES

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

USADC FT. GORDON ORAL HLTH CTR (NPI 1346443017) is a healthcare organization registered as a military/u.s. coast guard outpatient in Fort Gordon, Georgia and active in the NPI registry since June 2007. The organization lists Marvin Primos, Ubo Manager, as its authorized official.

NPPES Registry Identity

NPI1346443017

Entity TypeOrganization

Primary Taxonomy261QM1100X

Legal Business NameEISENHOWER ARMY MEDICAL CENTER

Location Address300 W HOSPITAL RD, USA ORAL HEALTH CENTERFort Gordon, GA 30905-5741

Mailing Address300 W Hospital Rd Bldg W, Attn Mchf-padFort Gordon, GA 30905-5741 · (706) 787-1125

Phone(706) 787-2601

Organization SubpartYes

Authorized OfficialMarvin PrimosUbo Manager · (706) 787-7204

Enumeration DateJune 8, 2007

Last NPPES UpdateJanuary 29, 2013

✔ NPI 1346443017 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.

300 W HOSPITAL RD, Fort Gordon, GA 30905

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Other Names 1

Doing Business AsUsadc Ft. Gordon Oral Hlth Ctr

Other Providers at the Same Location NPPES 20

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

DR. JOSEPH CLIFTON WOOD PH.D. M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

300 W HOSPITAL RD, EISENHOWER ARMY MEDICAL CENTER
AUGUSTA, GA 30905

Richmond County (706) 787-2875

DR. MORGAN WHALEY MD

Family Medicine

300 W HOSPITAL RD, EAMC CREDENTIALS
FORT GORDON, GA 30905

Richmond County (706) 787-2720

DR. JAMES ROBERT PEEL M.D.

Clinic/Center

300 W HOSPITAL RD, EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS
FORT GORDON, GA 30905

Richmond County (706) 787-2720

DR. PAUL S. DROHAN M.D.

Otolaryngology

300 W HOSPITAL RD, EISENHOWER ARMY MEDICAL CENTER
AUGUSTA, GA 30905

Richmond County (706) 787-2720

MR. DANIEL F MCFERRAN MSW

Social Worker (Clinical)

300 W HOSPITAL RD, EISENHOWER ARMY MEDICAL CENTER, CREDENTIALS
FORT GORDON, GA 30905

Richmond County (706) 787-2720

MR. RONALD GENE COOK DPH

Pharmacist

300 W HOSPITAL RD, EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS
FORT GORDON, GA 30905

Richmond County (706) 787-2720

DR. NANCY ANN HARPOLD DO

Psychiatry & Neurology (Psychiatry)

300 W HOSPITAL RD, DDEAMC
AUGUSTA, GA 30905

Richmond County (706) 787-3143

MR. MARIO BELTRAN MHS

Counselor (Addiction (Substance Use Disorder))

300 W HOSPITAL RD, EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS
FORT GORDON, GA 30905

Richmond County (706) 787-2720

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 Eisenhower Army Medical Center's NPI number?

The NPI number for Eisenhower Army Medical Center is 1346443017. It was assigned to this organization in the NPPES registry on June 8, 2007. The provider is doing business as Usadc Ft. Gordon Oral Hlth Ctr.

Where is Eisenhower Army Medical Center located?

Eisenhower Army Medical Center is located at 300 W Hospital Rd Usa Oral Health Center, Fort Gordon, GA 30905. The listed phone number is (706) 787-2601.

What is Eisenhower Army Medical Center'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 Eisenhower Army Medical Center was last updated on January 29, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.