USADC FT. GORDON TINGAY
NPI 1588868848
Clinic/Center - Military/U.S. Coast Guard Outpatient in Fort Gordon, GA

Active since June 12, 2007
320 HOSPITAL ROAD, FORT GORDON, GA 30905(706) 787-5102 Get Directions Write a Review

NPPES record last updated: January 29, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Usadc Ft. Gordon Tingay NPPES

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

USADC FT. GORDON TINGAY (NPI 1588868848) 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

NPI1588868848
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business NameEISENHOWER ARMY MEDICAL CENTER
Location Address320 HOSPITAL ROADFort Gordon, GA 30905
Mailing Address300 W Hospital Rd Bldg W, Attn Mchf-padFort Gordon, GA 30905-5741 · (706) 787-1125
Organization SubpartYes
Authorized OfficialMarvin PrimosUbo Manager · (706) 787-7204
Enumeration DateJune 12, 2007
Last NPPES UpdateJanuary 29, 2013
NPI 1588868848 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.
320 HOSPITAL ROAD, Fort Gordon, GA 30905

Other Names 1

Doing Business AsUsadc Ft. Gordon Tingay

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 1588868848. It was assigned to this organization in the NPPES registry on June 12, 2007. The provider is doing business as Usadc Ft. Gordon Tingay.

Where is Eisenhower Army Medical Center located?

Eisenhower Army Medical Center is located at 320 Hospital Road, Fort Gordon, GA 30905. The listed phone number is (706) 787-5102.

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.