NPIMap

Organization Active NPI

General Leonard Wood Army Community Hospital

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Leonard Wood, MO
National Provider Identifier
1033325840
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL
Practice address
Alabama Avenue BLDG 885
Fort Leonard Wood, MO 65473-8952
Phone
(573) 596-1906
NPI assigned
May 16, 2007
Organization subpart
Yes
Parent organization
GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nancy Lamber
Title
Chief, Ubo
Phone
(573) 596-0494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X Primary

Addresses

Primary practice location

Alabama Avenue BLDG 885
Fort Leonard Wood, MO 65473-8952

Mailing address

126 Missouri Ave
Attn MCXP RMD Ub Box 1242
Fort Leonard Wood, MO 65473-8952
Phone (573) 596-0494

Other identifiers 2

IdentifierTypeStateIssuer
2633104OtherPHARMACY NCPDP
AN2598588OtherMEDCO

Other names 1

  • RICHARD G. WILSON CTMC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
General Leonard Wood Army Community Hospital11 organizations share this tax ID, including this one
Part of
General Leonard Wood Army Community Hospital

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1033325840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 MISSOURI AVE",
            "address_2": "ATTN MCXP RMD UB BOX 1242",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654738952",
            "telephone_number": "573-596-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ALABAMA AVENUE BLDG 885",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654738952",
            "telephone_number": "573-596-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL",
        "enumeration_date": "2007-05-16",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "LAMBER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CHIEF, UBO",
        "authorized_official_telephone_number": "573-596-0494"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY NCPDP",
            "identifier": "2633104",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCO",
            "identifier": "AN2598588",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RICHARD G. WILSON CTMC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Leonard Wood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.