Organization
IRELAND ARMY COMMUNITY HOSPITAL
Active
Parent organization
IRELAND ARMY COMMUNITY HOSPITAL
Other names
NELSON MEDICAL CLINIC
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
BLDG 5949 15TH CALVARY DIV RD, FORT KNOX, KY 40121-5111
(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
—
—
332000000X
Military/U.S. Coast Guard Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891899274
PARENT FACILITY IRELAND ACH NPI
—
01
—
AN2598588
MEDCO
—
Enumeration date
05/21/2007
Last updated
04/02/2015
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