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Eisenhower Army Medical Center

Military/U.S. Coast Guard Outpatient Clinic/Center in Fort Gordon, GA · enumerated 2007 · authorized official Marvin Primos, Ubo Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1346443017

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Registry record

Entity type Organization (Type 2)
Legal business name Eisenhower Army Medical Center
Other name <Unavail>
Parent organization Eisenhower Army Medical Center
Practice address 300 W Hospital Rd, Usa Oral Health Center, Fort Gordon, GA, 30905
Phone (706) 787-2601
Enumeration date Jun 8, 2007
Last updated in NPPES Jan 29, 2013

Taxonomy & classification

261QM1100X Military/U.S. Coast Guard Outpatient Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Marvin Primos
Title Ubo Manager
Phone (706) 787-7204

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-01-29. Verify at npiregistry.cms.hhs.gov.
Where is Eisenhower Army Medical Center located?
The practice location on file with NPPES is in Fort Gordon, GA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-01-29.