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Organization

GUTHRIE AHC

Active
Parent organization
GUTHRIE AHC
Other names
EBH 1st BCT CLINIC-DRUM
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
5TH ARMORED DIVISION DRIVE, FORT DRUM, NY 13602
(315) 772-2455
Mailing address
11050 MOUNT BELVEDERE BLVD, C/O 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
12/23/2013
Last updated
03/26/2015
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