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Eisenhower Army Medical Center

Clinic/Center·Fort Gordon, GA· NPI 1669687414 · Enumerated 2007 · 19 years on NPI
Eisenhower Army Medical Center is 1 of 46 clinic/center organizations in Georgia.
NPI age
19 years
Enumerated 2007-05-14
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Primos
Ubo Manager
Last NPPES update
2013-01-29
Source: monthly bulk 2026-05

How this organization compares

Across 46 active clinic/center providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
300 W Hospital Rd
Fort Gordon, GA 309055741
📞 7067875811
Mailing address
300 W Hospital Rd Bldg W, Attn McHf-Pad
Fort Gordon, GA 309055741
📞 7067871125

Authorized official

Marvin Primos
Ubo Manager
📞 7067877204

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

Ambulatory Health Care Facilities › Clinic/Center
  • Clinic/Center Primary
    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...
    taxonomy 261QM1100X

Identifiers

TypeValueNotes
01 1578660742 PARENT FACILITY NPI

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • TMC-4-FT. GORDON
    Type code 3 recorded 2011-06-01

Practice context

Multi-provider organization. 20 individual providers on file at this primary address.

Subpart of Eisenhower Army Medical Center.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related

Clinic/Center organizations in Georgia
→ Georgia hub
About this specialty
→ Specialty guide