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USADC FT. GORDON SNYDER
NPI 1396949657
Clinic/Center - Military/U.S. Coast Guard Outpatient in Fort Gordon, GA

Active since June 12, 2007
BUILDING 25501, BRAINARD AVENUE, FORT GORDON, GA 30905(706) 787-7050 Get Directions Write a Review

NPPES record last updated: January 29, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Usadc Ft. Gordon Snyder NPPES

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

USADC FT. GORDON SNYDER (NPI 1396949657) 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

NPI1396949657
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business NameEISENHOWER ARMY MEDICAL CENTER
Location AddressBUILDING 25501, BRAINARD AVENUEFort Gordon, GA 30905
Mailing Address300 W Hospital Rd Bldg W, Attn Mchf-padFort Gordon, GA 30905-5741 · (706) 787-1125
Phone(706) 787-7050
Organization SubpartYes
Authorized OfficialMarvin PrimosUbo Manager · (706) 787-7204
Enumeration DateJune 12, 2007
Last NPPES UpdateJanuary 29, 2013
✔ NPI 1396949657 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.
BUILDING 25501, BRAINARD AVENUE, Fort Gordon, GA 30905
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Other Names 1

Doing Business AsUsadc Ft. Gordon Snyder

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 1396949657. It was assigned to this organization in the NPPES registry on June 12, 2007. The provider is doing business as Usadc Ft. Gordon Snyder.

Where is Eisenhower Army Medical Center located?

Eisenhower Army Medical Center is located at Building 25501, Brainard Avenue, Fort Gordon, GA 30905. The listed phone number is (706) 787-7050.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.