Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eisenhower Army Medical Center

Organization Military/U.S. Coast Guard Outpatient Clinic/Center · NPI 1427131432

Eisenhower Army Medical Center is a Military/U.S. Coast Guard Outpatient Clinic/Center in Fort Gordon, Georgia. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
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Practice location Address checks out

29709 B St
Fort Gordon, GA 30905-5741
Phone: (706) 787-5811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Military/U.S. Coast Guard Outpatient Clinic/Center (primary) Taxonomy 261QM1100X
Military/U.S. Coast Guard Pharmacy Taxonomy 332000000X

Record details

NPI number1427131432
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEisenhower Army Medical Center
Authorized official Marvin Primos — Ubo Manager · (706) 787-7204
Other names Connelly Health Clinic
NPI enumeratedOctober 23, 2006
Last updated in NPPESJanuary 31, 2013
Mailing address300 W Hospital Rd Bldg W, Attn McHf-Pad, Fort Gordon, GA 30905-5741

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