NPIMap

Organization Active NPI

Ach Blanchfield-Ft Campbell

  • Military General Acute Care Hospital
  • Fort Campbell, KY
National Provider Identifier
1417044702
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military General Acute Care HospitalTaxonomy code 2865M2000X
Legal business name
ACH BLANCHFIELD-FT CAMPBELL
Practice address
650 Joel Dr
Fort Campbell, KY 42223-5318
Phone
(270) 798-8286
Fax
(270) 798-8286
NPI assigned
Oct 6, 2006
Organization subpart
Yes
Parent organization
ACH BLANCHFIELD-FT CAMPBELLAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Authorized official

Name
Ms. Sharon L Tucker
Title
Ubo Manager
Phone
(270) 798-8286

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center 261QM1101X
Military General Acute Care Hospital 2865M2000X Primary
Military/U.S. Coast Guard Pharmacy 332000000X
Military/U.S. Coast Guard Transport 341800000X

Addresses

Primary practice location

650 Joel Dr
Fort Campbell, KY 42223-5318

Mailing address

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

Other identifiers 4

IdentifierTypeStateIssuer
000000250244OtherANTHEM BLUE CROSS & BLUE
1825946OtherNCPDP
000000054923OtherANTHEM BLUE CROSS & BLUE
AN2598588OtherMEDCO

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

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1417044702",
    "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",
            "fax_number": "270-956-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 JOEL DR",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235318",
            "telephone_number": "270-798-8286",
            "fax_number": "270-798-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACH BLANCHFIELD-FT CAMPBELL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACH BLANCHFIELD-FT CAMPBELL",
        "enumeration_date": "2006-10-06",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "UBO MANAGER",
        "authorized_official_telephone_number": "270-798-8286",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1101X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2865M2000X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332000000X",
            "taxonomy_group": "",
            "desc": "Military/U.S. Coast Guard Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "341800000X",
            "taxonomy_group": "",
            "desc": "Military/U.S. Coast Guard Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS & BLUE",
            "identifier": "000000250244",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1825946",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS & BLUE",
            "identifier": "000000054923",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCO",
            "identifier": "AN2598588",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 21, 2025; 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.