OrganizationActive
Guthrie Ahc
NPI 1093920811 · Military/U.S. Coast Guard Outpatient Clinic/Center · Fort Drum, NY
Provider details
- NPI number
- 1093920811
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Guthrie Ahc
- Organization subpart
- Yes
- Authorized official
- Nancy Draper, Acting Ubo Manager(315) 772-1755
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
10205 N Riva Ridge Loop
Suite P10506
Fort Drum, NY 13602-5457
Phone: (315) 772-2778
Approximate (ZIP-level) locationGet directions
Mailing address
11050 Mount Belvedere Blvd
Fort Drum, NY 13602-5438
Other names (DBA / former)
- Doing business as
- Ctmc Conner-Drum
Registry dates
- Enumerated
- 2007-05-14
- Last updated
- 2015-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.