Provider Demographics
NPI:1922142991
Name:IRELAND ARMY COMMUNITY HOSPITAL
Entity Type:Organization
Organization Name:IRELAND ARMY COMMUNITY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELOIS
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:SIMS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:502-624-9266
Mailing Address - Street 1:404 CHARLESTOWN CT
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40243-1108
Mailing Address - Country:US
Mailing Address - Phone:502-245-6454
Mailing Address - Fax:
Practice Address - Street 1:BLDG. 851 289 IRELAND AVE. ARMY COMMUNITY HOSPITAL
Practice Address - Street 2:
Practice Address - City:FORT KNOX
Practice Address - State:KY
Practice Address - Zip Code:40121-5111
Practice Address - Country:US
Practice Address - Phone:502-624-9266
Practice Address - Fax:502-624-9289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1660282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital