Provider First Line Business Practice Location Address: 
IRWIN ARMY COMMUNITY HOSPITAL (ATTN MCXX-CLD-QM)
    Provider Second Line Business Practice Location Address: 
600 CAISSON HILL ROAD
    Provider Business Practice Location Address City Name: 
FORT RILEY
    Provider Business Practice Location Address State Name: 
KS
    Provider Business Practice Location Address Postal Code: 
66442-5037
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
785-239-7155
    Provider Business Practice Location Address Fax Number: 
785-239-7364
    Provider Enumeration Date: 
10/03/2006