Eisenhower Army Medical Center
Military/U.S. Coast Guard Outpatient
29709 B Street, Fort Gordon
Georgia, 30905-5741
706-787-5811 Eisenhower Army Medical Center is a Military/U.S. Coast Guard Outpatient in Fort Gordon, Georgia. 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 Eisenhower Army Medical Center is Marvin Primos who is Ubo Manager of the pharmacy and his contact number is 706-787-7204.
Eisenhower Army Medical Center 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:
Eisenhower Army Medical Center 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: | Eisenhower Army Medical Center |
| 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 Eisenhower Army Medical Center 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 |
Patients can reach Eisenhower Army Medical Center at
29709 B Street, Fort Gordon, Georgia or can
call on customer care at 706-787-5811.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.