Organization
AHC REYNOLDS-FT SILL
Active
Parent organization
AHC REYNOLDS-FT SILL
Other names
ACH REYNOLDS-SILL
Organization subpart
Yes
Provider details
NPI number
Legal business name
AHC REYNOLDS-FT SILL
Authorized official
BARRY BALLARD (UBO MANAGER)
(580) 558-8383
Entity
Organization
Contact information
Practice address
4301 WILSON ST, FORT SILL, OK 73503-4472
(580) 558-2800
Mailing address
3009 NW WILSON ROAD, ATTN MCUA-PAD-PF, FORT SILL, OK 73503-9042
(580) 458-8435
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
—
—
261QM1101X
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center
—
—
2865M2000X
Military General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3722166
PHARMACY NCPDP
—
01
—
AN2598588
MEDCO
—
Enumeration date
09/20/2006
Last updated
05/22/2025
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