Provider First Line Business Practice Location Address: 
IRWIN ARMY COMMUNITY HOSPITAL
    Provider Second Line Business Practice Location Address: 
650 HUEBNER 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: 
66442-4030
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
785-239-3627
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
07/19/2019