# GUTHRIE AHC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GUTHRIE AHC
- **Other names:** EBH 3rd BCT CLINIC-DRUM
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1962823575
- **Legal business name:** GUTHRIE AHC
- **Authorized official:** NANCY DRAPER (ACTING UBO MANAGER)
- **Authorized official phone:** (315) 772-1755

## Contact information

- **Practice address:** 11050 MOUNT BELEDERE BLVD, FORT DRUM, NY 13602
- **Practice address phone:** (315) 772-0977
- **Mailing address:** 11050 MOUNT BELVEDERE BLVD, C/O UBO, FORT DRUM, NY 13602-5438
- **Mailing address phone:** (315) 772-4033

## Taxonomy

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

## Other

- **Enumeration date:** 12/27/2013
- **Last updated:** 04/20/2015