Blanchfield Army Community Hospital

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

NPI 1396145306 · NPPES record last updated Aug 27, 2014

Key facts

NPI
1396145306
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
BLDG 2403
Air Assault St and Indiana Ave
Fort Campbell, KY 42223
Phone
(270) 798-9720
NPI assigned
Aug 27, 2014
Organization subpart
Yes
Parent organization (as reported)
BLANCHFIELD ARMY COMMUNITY HOSPITAL

Authorized official

Name
Chad Hale
Title
Acting Ubo Manager
Phone
(270) 798-8286

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

2403 Indiana Ave
Fort Campbell, KY 42223
Phone (270) 412-5114

Specialties & licenses

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

Addresses

Primary practice location

BLDG 2403
Air Assault St and Indiana Ave
Fort Campbell, KY 42223

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
1417044702OtherPARENT BLANCHFIELD ACH NPI 2

Other names

  • ARMY INTREPID SPIRIT-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.