Organization
US ARMY HEALTH CLINIC
Active
Parent organization
UNITED STATES ARMY
Other names
Ireland Army Community Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNITED STATES ARMY
Authorized official
MR. JESSE C KOLLASCH-ROBERTS (NURSE ASSISTANT)
(608) 388-3025
Entity
Organization
Contact information
Practice address
BLDG 2669 WEST REGIMENTAL ROAD, FT MCCOY, WI 54656-5229
(608) 388-3025
(608) 388-4818
Mailing address
BLDG 2669 WEST REGIMENTAL ROAD, FT MCCOY, WI 54656-5229
(608) 388-3025
(608) 388-4818
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
343143
WI
261QM1101X
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center
70101705
WI
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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