Blanchfield Army Community Hospital

Organization Active NPI Military/U.S. Coast Guard Outpatient Clinic/Center · Fort Campbell, KY

NPI 1306094909 · NPPES record last updated Sep 11, 2013

Key facts

NPI
1306094909
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
35TH & Desert Storm
BLDG 5980
Fort Campbell, KY 42223
Phone
(270) 412-6027
NPI assigned
Sep 8, 2008
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

Specialties & licenses

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

Addresses

Primary practice location

35TH & Desert Storm
BLDG 5980
Fort Campbell, KY 42223

Mailing address

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

Other names

  • USADC-4 FT. CAMPBELL Doing business as

Other providers in Fort Campbell, KY

All providers in Fort Campbell, KY · Military/U.S. Coast Guard Outpatient Clinic/Center in Kentucky

Sources for this page

Verify at the official NPI Registry.