NPIMap

Organization Active NPI

Blanchfield Army Community Hospital

Doing business as Army Intrepid Spirit-Campbell

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Campbell, KY
National Provider Identifier
1396145306
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
BLANCHFIELD ARMY COMMUNITY HOSPITAL
Doing business as
Army Intrepid Spirit-Campbell
Practice address
BLDG 2403
Air Assault St and Indiana Ave
Fort Campbell, KY 42223
Phone
(270) 798-9720
NPI assigned
Aug 27, 2014
Last updated
Aug 27, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
BLANCHFIELD ARMY COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Authorized official

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

Specialties & licenses 1

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

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 names 1

  • ARMY INTREPID SPIRIT-CAMPBELL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Blanchfield Army Community Hospital24 organizations share this tax ID, including this one
Part of
Blanchfield Army Community Hospital

Other organizations with this tax ID 23

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

View all 23

Locations

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

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1396145306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 JOEL DR",
            "address_2": "ATTN UBO",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235318",
            "telephone_number": "270-798-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 2403",
            "address_2": "AIR ASSAULT ST AND INDIANA AVE",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "42223",
            "telephone_number": "270-798-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANCHFIELD ARMY COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLANCHFIELD ARMY COMMUNITY HOSPITAL",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "ACTING UBO MANAGER",
        "authorized_official_telephone_number": "270-798-8286"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARMY INTREPID SPIRIT-CAMPBELL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Campbell, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.