Provider Demographics
NPI:1497160113
Name:ACH KELLER-WEST POINT
Entity type:Organization
Organization Name:ACH KELLER-WEST POINT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF DHA PASS
Authorized Official - Prefix:
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-536-6650
Mailing Address - Street 1:KELLER ARMY COMMUNITY HOSPITAL
Mailing Address - Street 2:CO MCUD-RMD-UBOBUILDING 900
Mailing Address - City:WEST POINT
Mailing Address - State:NY
Mailing Address - Zip Code:10996-1197
Mailing Address - Country:US
Mailing Address - Phone:845-938-2271
Mailing Address - Fax:845-938-3168
Practice Address - Street 1:KELLER ARMY COMMUNITY HOSPITAL
Practice Address - Street 2:BUILDING 900 900 WASHINGTON ROAD
Practice Address - City:WEST POINT
Practice Address - State:NY
Practice Address - Zip Code:10996-1197
Practice Address - Country:US
Practice Address - Phone:845-938-2271
Practice Address - Fax:845-938-2261
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACH KELLER-WEST POINT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-06-23
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332000000XSuppliersMilitary/U.S. Coast Guard Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2146369OtherPK