Southcom Clinic-ft. Gordon is not a DME supplier for medicare equipments and products.
Southcom Clinic-ft. Gordon is a Military/U.S. Coast Guard Outpatient in Doral, Florida. 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 3511 Nw 91st Ave, Doral and it's customer support contact number is 305-437-1970. The authorized person of Southcom Clinic-ft. Gordon is Marvin Primos who is Ubo Manager of the pharmacy and his contact number is 706-787-7204. Southcom Clinic-ft. Gordon 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:
Southcom Clinic-ft. Gordon 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:
Southcom Clinic-ft. Gordon
Type:
Military/U.S. Coast Guard Outpatient
Location:
3511 Nw 91st Ave, Doral, Florida, 33172-1216
Phone:
305-437-1970
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:
1164636320
Parent Organization:
Eisenhower Army Medical Center
NPI Enumeration Date:
09 May, 2007
NPI Last Update On:
05 Jan, 2015
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southcom Clinic-ft. Gordon 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 Southcom Clinic-ft. Gordon at 3511 Nw 91st Ave, Doral, Florida or can call on customer care at 305-437-1970.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.