NPIMap

Organization Active NPI

General Leonard Wood Army Community Hospital

Doing business as Ebh Forscom-Leonard Wood

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Leonard Wood, MO
National Provider Identifier
1366812091
Registry record updated Oct 7, 2015
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
Doing business as
Ebh Forscom-Leonard Wood
Practice address
7621 Big Piney Rd
Fort Leonard Wood, MO 65473-1572
Phone
(573) 596-5408
NPI assigned
Oct 7, 2015
Last updated
Oct 7, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Authorized official

Name
Craig Peel
Title
Ubo Manager
Phone
(573) 596-0494

Specialties & licenses 1

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

Addresses

Primary practice location

7621 Big Piney Rd
Fort Leonard Wood, MO 65473-1572

Mailing address

4430 Missouri Ave
Attn MCXP RMD Ub Box 1242
Fort Leonard Wood, MO 65473-9098
Phone (573) 596-0494

Other identifiers 1

IdentifierTypeStateIssuer
1225083249OtherPARENT NPI

Other names 1

  • EBH FORSCOM-LEONARD WOOD Doing business as

National Provider Directory

National Provider Directory
Tax ID family
United States Army11 organizations share this tax ID, including this one
Part of
United States Army

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": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1366812091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430 MISSOURI AVE",
            "address_2": "ATTN MCXP RMD UB BOX 1242",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654739098",
            "telephone_number": "573-596-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7621 BIG PINEY RD",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654731572",
            "telephone_number": "573-596-5408"
        }
    ],
    "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": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "PEEL",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "UBO MANAGER",
        "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": "PARENT NPI",
            "identifier": "1225083249",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EBH FORSCOM-LEONARD WOOD",
            "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 Oct 7, 2015; 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.