# US ARMY HEALTH CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNITED STATES ARMY
- **Other names:** Ireland Army Community Hospital
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1952854648
- **Legal business name:** UNITED STATES ARMY
- **Authorized official:** MR. JESSE C KOLLASCH-ROBERTS (NURSE ASSISTANT)
- **Authorized official phone:** (608) 388-3025

## Contact information

- **Practice address:** BLDG 2669 WEST REGIMENTAL ROAD, FT MCCOY, WI 54656-5229
- **Practice address phone:** (608) 388-3025
- **Practice address fax:** (608) 388-4818
- **Mailing address:** BLDG 2669 WEST REGIMENTAL ROAD, FT MCCOY, WI 54656-5229
- **Mailing address phone:** (608) 388-3025
- **Mailing address fax:** (608) 388-4818

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | 343143 | WI | Yes |
| 261QM1101X | Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center | 70101705 | WI | — |

## Other

- **Enumeration date:** 07/28/2016
- **Last updated:** 07/28/2016