Organization
GUTHRIE AHC
Active
Parent organization
GUTHRIE AHC
Other names
OHC-WATERVLIET
Organization subpart
Yes
Provider details
NPI number
Legal business name
GUTHRIE AHC
Authorized official
NANCY DRAPER (ACTING UBO MANAGER)
(315) 772-1755
Entity
Organization
Contact information
Practice address
10205 N RIVA RIDGE LOOP, SUITE P36, FORT DRUM, NY 13602-5457
(315) 772-2778
Mailing address
11050 MOUNT BELVEDERE BLVD, UBO, FORT DRUM, NY 13602-5438
(315) 772-4033
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Enumeration date
05/13/2007
Last updated
03/23/2015
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