# GUTHRIE AHC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GUTHRIE AHC
- **Other names:** AHC FALCON-DRUM, Falcon Team
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1063902666
- **Legal business name:** GUTHRIE AHC
- **Authorized official:** MRS. NANCY CHRISTINA DRAPER (UBO MANAGER)
- **Authorized official phone:** (315) 772-1755

## Contact information

- **Practice address:** P19914 M3R TAMPA, FORT DRUM, NY 13602
- **Practice address phone:** (315) 772-1755
- **Practice address fax:** (315) 772-3339
- **Mailing address:** 11050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 13602-5438
- **Mailing address phone:** (315) 772-1755
- **Mailing address fax:** (315) 772-3339

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | NY | Yes |

## Other

- **Enumeration date:** 05/18/2018
- **Last updated:** 06/16/2018