Organization
AMC EISENHOWER
Active
Parent organization
AMC EISENHOWER
Other names
FT EISENHOWER CONNELLY PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMC EISENHOWER
Authorized official
HECTOR MORALES (DHA POD SR PROGRAM ANALYST)
(210) 536-6650
Entity
Organization
Contact information
Practice address
AVENUE B BLDG 29709, MARK CONNELLY HEALTH CLINIC, FT GORDON, GA 30905
(706) 787-5167
(706) 787-6175
Mailing address
EISENHOWER ARMY MEDICAL CENTER, ATTN MCHF-PAD, FT GORDON, GA 30905-5741
(706) 787-5167
(706) 787-6175
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020249
PK
—
Enumeration date
09/21/2006
Last updated
06/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us