OrganizationActive
Amc Eisenhower
NPI 1215036983 · Military/U.S. Coast Guard Pharmacy · Ft Gordon, GA
Amc Eisenhower is a Military/U.S. Coast Guard Pharmacy organization in Ft Gordon, GA (NPI 1215036983).
Provider details
- NPI number
- 1215036983
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard PharmacySuppliers
- Parent organization
- Amc Eisenhower
- Organization subpart
- Yes
- Authorized official
- Hector Morales, Dha Pod Sr Program Analyst(210) 536-6650
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
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
Avenue B Bldg 29709
Mark Connelly Health Clinic
Ft Gordon, GA 30905
Phone: (706) 787-5167
Fax: (706) 787-6175
Approximate (ZIP-level) locationGet directions
Mailing address
Eisenhower Army Medical Center
Ft Gordon, GA 30905-5741
Other names (DBA / former)
- Doing business as
- Ft Eisenhower Connelly Pharmacy
Registry dates
- Enumerated
- 2006-09-21
- Last updated
- 2025-06-11
- Certified
- 2025-06-11
Frequently asked questions
- What is Amc Eisenhower's NPI number?
- Amc Eisenhower's National Provider Identifier (NPI) is 1215036983, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Amc Eisenhower?
- Amc Eisenhower is classified in the NPPES registry as Military/U.S. Coast Guard Pharmacy (Suppliers).
- Where is Amc Eisenhower located?
- Amc Eisenhower's practice location on file with NPPES is Avenue B Bldg 29709, Ft Gordon, GA 30905.
- What is Amc Eisenhower's phone number?
- The practice phone number listed in the NPPES registry for Amc Eisenhower is (706) 787-5167.
- Who is the authorized official for Amc Eisenhower?
- The authorized official listed on Amc Eisenhower's NPPES record is Hector Morales, Dha Pod Sr Program Analyst. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Amc Eisenhower's NPI active?
- Yes — Amc Eisenhower's NPI (1215036983) is active in the NPPES registry as of the last update on 2025-06-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.