Provider Demographics
NPI:1831487743
Name:UNITED STATES ARMY
Entity Type:Organization
Organization Name:UNITED STATES ARMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERNAL MEDICINE INTERN
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:COYLE
Authorized Official - Suffix:JR
Authorized Official - Credentials:DO
Authorized Official - Phone:717-201-4903
Mailing Address - Street 1:300 W HOSPITAL RD
Mailing Address - Street 2:RM7A36
Mailing Address - City:FORT GORDON
Mailing Address - State:GA
Mailing Address - Zip Code:30905-5741
Mailing Address - Country:US
Mailing Address - Phone:706-787-0674
Mailing Address - Fax:706-787-0987
Practice Address - Street 1:300 W HOSPITAL RD
Practice Address - Street 2:RM7A36
Practice Address - City:FORT GORDON
Practice Address - State:GA
Practice Address - Zip Code:30905-5741
Practice Address - Country:US
Practice Address - Phone:706-787-0674
Practice Address - Fax:706-787-0987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-12
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2865M2000XHospitalsMilitary HospitalMilitary General Acute Care Hospital