# AHC MCDONALD-EUSTIS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AHC MCDONALD-EUSTIS
- **Other names:** AHC MCDONALD-EUSTIS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1922199066
- **Legal business name:** AHC MCDONALD-EUSTIS
- **Authorized official:** NA'KEESHA DE'BOSE (UBO MANAGER)
- **Authorized official phone:** (757) 314-7500

## Contact information

- **Practice address:** 579 JEFFERSON AVE, FORT EUSTIS, VA 23604
- **Practice address phone:** (757) 314-7500
- **Mailing address:** 579 JEFFERSON AVE, ATTN UBO, FORT EUSTIS, VA 23604
- **Mailing address phone:** (757) 314-7770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | NULL | — |
| 261QM1101X | Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 05/22/2025