Organization
KELLER ARMY COMMUNITY HOSPITAL
Active
Parent organization
KELLER ARMY COMMUNITY HOSPITAL
Other names
AINSWORTH AHC-FT. HAMILTON
Organization subpart
Yes
Provider details
NPI number
Legal business name
KELLER ARMY COMMUNITY HOSPITAL
Authorized official
KENNETH TUFFY (UBO MANAGER)
(845) 938-8239
Entity
Organization
Contact information
Practice address
114 WHITE AVE, FORT HAMILTON, NY 11252-9503
(718) 630-4611
Mailing address
900 WASHINGTON RD, ATTN: MCUD-RMD-UBO, WEST POINT, NY 10996-1109
(845) 938-8239
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528161916
PARENT FACILITY NPI
—
Enumeration date
05/10/2007
Last updated
06/16/2014
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