Organization
ACH IRWIN-RILEY
Active
Parent organization
ACH IRWIN-RILEY
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACH IRWIN-RILEY
Authorized official
DEBORAH DENISE BUCHMAN (UBO MANAGER)
(785) 239-7724
Entity
Organization
Contact information
Practice address
650 HUEBNER RD, ATTN: UNIFORM BUSINESS OFFICE, FORT RILEY, KS 66442-4030
(785) 239-7000
Mailing address
650 HUEBNER RD, ATTN: UNIFORM BUSINESS OFFICE, FORT RILEY, KS 66442-4030
(785) 239-7000
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
—
—
332000000X
Military/U.S. Coast Guard Pharmacy
—
—
341800000X
Military/U.S. Coast Guard Transport
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111376
BLUE SHIELD
KS
01
—
514
BLUE CROSS
KS
01
—
AN2598588
MEDCO PRESCRIBER ID
KS
Enumeration date
06/04/2006
Last updated
05/21/2025
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