Connelly Health Clinic is not a DME supplier for medicare equipments and products.
Connelly Health Clinic is a Military/U.S. Coast Guard Outpatient in Fort Gordon, Georgia. This pharmacy is owned and operated by Eisenhower Army Medical Center. This organization is also known as sub part of Eisenhower Army Medical Center. It is located at 29709 B Street, Fort Gordon and it's customer support contact number is 706-787-5811. The authorized person of Connelly Health Clinic is Marvin Primos who is Ubo Manager of the pharmacy and his contact number is 706-787-7204. Connelly Health Clinic is the Defense Health Program or U.S. Coast Guard funded “fixed” facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A “fixed” facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the “fixed” facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
Pharmacy Details:
Connelly Health Clinic type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Connelly Health Clinic
Type:
Military/U.S. Coast Guard Outpatient
Location:
29709 B Street, Fort Gordon, Georgia, 30905-5741
Phone:
706-787-5811
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Marvin Primos
Position:
Ubo Manager
Contact Number:
706-787-7204
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1427131432
Parent Organization:
Eisenhower Army Medical Center
NPI Enumeration Date:
23 Oct, 2006
NPI Last Update On:
31 Jan, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Connelly Health Clinic are as mentioned below.
Specialization
License Number
State
Status
Military/U.S. Coast Guard Outpatient
Primary
Military/u.s. Coast Guard Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1578660742
Other
Parent Mtf Npi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
300 W Hospital Rd Bldg W, Attn Mchf-pad Fort Gordon, Georgia
Zip:
30905-5741
Phone Number:
706-787-1125
Fax Number:
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Patients can reach Connelly Health Clinic at 29709 B Street, Fort Gordon, Georgia or can call on customer care at 706-787-5811.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Other Pharmacies in Fort Gordon, Georgia
No other Pharmacies is available in Fort Gordon, GA.