Eisenhower Army Medical Center
NPI 1104031194 · Military/U.S. Coast Guard Outpatient Clinic/Center · Hattiesburg, MS
Eisenhower Army Medical Center is a Military/U.S. Coast Guard Outpatient Clinic/Center organization in Hattiesburg, MS (NPI 1104031194).
Provider details
- NPI number
- 1104031194
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Eisenhower Army Medical Center
- Organization subpart
- Yes
- Authorized official
- Marvin Primos, Ubo Manager(706) 787-7204
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Camp Shelby
Registry dates
- Enumerated
- 2007-05-11
- Last updated
- 2013-01-29
Frequently asked questions
- What is Eisenhower Army Medical Center's NPI number?
- Eisenhower Army Medical Center's National Provider Identifier (NPI) is 1104031194, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eisenhower Army Medical Center?
- Eisenhower Army Medical Center is classified in the NPPES registry as Military/U.S. Coast Guard Outpatient Clinic/Center (Ambulatory Health Care Facilities).
- Where is Eisenhower Army Medical Center located?
- Eisenhower Army Medical Center's practice location on file with NPPES is 1001 Hardy St, Hattiesburg, MS 39401-4165.
- What is Eisenhower Army Medical Center's phone number?
- The practice phone number listed in the NPPES registry for Eisenhower Army Medical Center is (706) 787-5811.
- Who is the authorized official for Eisenhower Army Medical Center?
- The authorized official listed on Eisenhower Army Medical Center's NPPES record is Marvin Primos, Ubo Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eisenhower Army Medical Center's NPI active?
- Yes — Eisenhower Army Medical Center's NPI (1104031194) is active in the NPPES registry as of the last update on 2013-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.