IRELAND ARMY COMMUNITY HOSPITAL
NPI 1952854648
Clinic/Center - Military/U.S. Coast Guard Outpatient in Ft Mccoy, WI

Active since July 28, 2016
BLDG 2669 WEST REGIMENTAL ROAD, FT MCCOY, WI 54656(608) 388-3025(608) 388-4818 Get Directions Write a Review

NPPES record last updated: July 28, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Military/U.S. Coast Guard Outpatient

About IRELAND ARMY COMMUNITY HOSPITAL

This page provides the complete NPI Profile along with additional information for Ireland Army Community Hospital, a provider established in Ft Mccoy, Wisconsin operating as a Clinic/center, focusing in military/u.s. coast guard outpatient . The healthcare provider is registered in the NPI registry with number 1952854648 assigned on July 2016. The practitioner's primary taxonomy code is 261QM1100X with license number 343143 (WI). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's other name is Ireland Army Community Hospital. The authorized official of this NPI record is Mr. Jesse C Kollasch-roberts (Nurse Assistant)

NPI
1952854648 Verify this NPI
Provider Legal Name
US ARMY HEALTH CLINIC
Other Organization Name
IRELAND ARMY COMMUNITY HOSPITAL
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
BLDG 2669 WEST REGIMENTAL ROAD FT MCCOY, WI 54656
Location Phone
(608) 388-3025
Location Fax
(608) 388-4818
Mailing Address
BLDG 2669 WEST REGIMENTAL ROAD FT MCCOY, WI 54656
Mailing Phone
(608) 388-3025
Mailing Fax
(608) 388-4818
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-28-2016
Last Update Date
07-28-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Military/U.S. Coast Guard Outpatient

Taxonomy Code
261QM1100X
Type
Ambulatory Health Care Facilities
License No.
343143
License State
WI
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM1101XAmbulatory Health Care Facilities

Clinic/Center
Military and U.S. Coast Guard Ambulatory Procedure

70101705 (WI)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JESSE C KOLLASCH-ROBERTS

Authorized Official Title
NURSE ASSISTANT
Authorized Official Phone
(608) 388-3025

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952854648, enumerated as an "organization" on July 28, 2016.

The provider is located at BLDG 2669 WEST REGIMENTAL ROAD FT MCCOY, WI 54656 and the phone number is (608) 388-3025.

Clinic/Center with taxonomy code 261QM1100X and a focus in Military/U.S. Coast Guard Outpatient.