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Blanchfield Army Community Hospital

Organization Active NPI Military/U.S. Coast Guard Outpatient Clinic/Center · Clarksville, TN

NPI 1275846263 · NPPES record last updated Jan 3, 2013

Key facts

NPI
1275846263
Entity type
Organization (NPI type 2)
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X
Legal business name
BLANCHFIELD ARMY COMMUNITY HOSPITAL
Practice address
647 Dunlop LN
Gateway Medical Center Medical Office BLDG One
Clarksville, TN 37040-5165
Phone
(270) 461-5019
NPI assigned
Jul 19, 2010
Organization subpart
Yes
Parent organization (as reported)
BLANCHFIELD ARMY COMMUNITY HOSPITAL

Authorized official

Name
Liza J O'Neal
Title
C, Pad
Phone
(270) 798-8491

Corporate family (same tax ID) 23

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

National Provider Directory

Tax ID family
Blanchfield Army Community Hospital (24 organizations share this tax ID)
Part of
Blanchfield Army Community Hospital

Locations

650 Joel Dr
Fort Campbell, KY 42223
Phone (270) 798-8372

647 Dunlop Ln
Ofc
Clarksville, TN 37040
Phone (270) 461-5019

Specialties & licenses

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

Addresses

Primary practice location

647 Dunlop LN
Gateway Medical Center Medical Office BLDG One
Clarksville, TN 37040-5165

Mailing address

650 Joel Dr
Attn Ubo
Fort Campbell, KY 42223-5318
Phone (270) 798-8286

Other identifiers

IdentifierTypeStateIssuer
1417044702OtherPARENT BILLING NPI

Other names

  • SCREAMING EAGLE MEDICAL HOME-CAMPB Doing business as

Other providers in Clarksville, TN

All providers in Clarksville, TN · Military/U.S. Coast Guard Outpatient Clinic/Center in Tennessee

Sources for this page

Verify at the official NPI Registry.