Organization
IRELAND ARMY COMMUNITY HOSPITAL
Active
Parent organization
IRELAND ARMY COMMUNITY HOSPITAL
Other names
OCCUPATIONAL HLTH CLINIC-TACOM
Organization subpart
Yes
Provider details
NPI number
Legal business name
IRELAND ARMY COMMUNITY HOSPITAL
Authorized official
BARBARA HORNBACK (UBO MANAGER)
(502) 624-9870
Entity
Organization
Contact information
Practice address
6501 E 11 MILE RD, WARREN, MI 48397-5000
(502) 624-9333
Mailing address
289 IRELAND AVE, ATTN: TREASURERS OFFICE, FORT KNOX, KY 40121-5111
(502) 624-9274
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
—
1891899274
PARENT FACILITY IRELAND ACH NPI
—
Enumeration date
05/11/2007
Last updated
04/02/2015
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