IRELAND ARMY COMMUNITY HOSPITAL
NPI 1952854648
Clinic/Center - Military/U.S. Coast Guard Outpatient in Ft Mccoy, WI
- 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
- Code Navigator
Location Map
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) |
|---|---|---|---|---|
| 1 | 261QM1101X | Ambulatory Health Care Facilities | Clinic/Center | 70101705 (WI) |
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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.