# IRELAND ARMY COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** IRELAND ARMY COMMUNITY HOSPITAL
- **Other names:** NELSON MEDICAL CLINIC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1528276516
- **Legal business name:** IRELAND ARMY COMMUNITY HOSPITAL
- **Authorized official:** BARBARA HORNBACK (UBO MANAGER)
- **Authorized official phone:** (502) 624-9870

## Contact information

- **Practice address:** BLDG 5949 15TH CALVARY DIV RD, FORT KNOX, KY 40121-5111
- **Practice address phone:** (502) 624-9333
- **Mailing address:** 289 IRELAND AVE, ATTN: TREASURERS OFFICE, FORT KNOX, KY 40121-5111
- **Mailing address phone:** (502) 624-9274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | NULL | Yes |
| 332000000X | Military/U.S. Coast Guard Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 05/21/2007
- **Last updated:** 04/02/2015