# IRELAND ARMY COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** IRELAND ARMY COMMUNITY HOSPITAL
- **Other names:** OCCUPATIONAL HLTH CLINIC-FT. MCCOY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1700092509
- **Legal business name:** IRELAND ARMY COMMUNITY HOSPITAL
- **Authorized official:** BARBARA HORNBACK (UBO MANAGER)
- **Authorized official phone:** (502) 624-9870

## Contact information

- **Practice address:** 1679 S 10TH AVE, MCCOY OHC, FORT MCCOY, WI 54656-5114
- **Practice address phone:** (608) 388-3209
- **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 | — | — | Yes |

## Other

- **Enumeration date:** 05/16/2007
- **Last updated:** 04/01/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1891899274 | PARENT FACILITY IRELAND ACH NPI | — |