Provider Demographics
NPI:1720185572
Name:IRELAND ARMY COMMUNITY HOSPITAL
Entity Type:Organization
Organization Name:IRELAND ARMY COMMUNITY HOSPITAL
Other - Org Name:ROCK ISLAND ARSENAL PHCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF DHA PASS
Authorized Official - Prefix:
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-536-6650
Mailing Address - Street 1:110 RODMAN AVE
Mailing Address - Street 2:
Mailing Address - City:ROCK ISLAND
Mailing Address - State:IL
Mailing Address - Zip Code:61299-0001
Mailing Address - Country:US
Mailing Address - Phone:502-624-9274
Mailing Address - Fax:309-782-0553
Practice Address - Street 1:PHARM BLDG 110
Practice Address - Street 2:USA HEALTH CLINIC
Practice Address - City:ROCK ISLAND
Practice Address - State:IL
Practice Address - Zip Code:61299-0001
Practice Address - Country:US
Practice Address - Phone:309-782-0550
Practice Address - Fax:309-782-0553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2015-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332000000XSuppliersMilitary/U.S. Coast Guard Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2024964OtherPK
1841405388OtherFACILITY NPI
1891899274OtherPARENT FACILITY NPI
1471084OtherOTHER ID NUMBER-COMMERCIAL NUMBER