NPIMap

Organization Active NPI

Glwach

  • Military Hospital
  • Fort Leonard Wood, MO
National Provider Identifier
1619403748
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
License
2013031924 Issued in MO
Legal business name
GLWACH
Practice address
4430 Missouri Ave
Glwach
Fort Leonard Wood, MO 65473-9098
Phone
(573) 596-0515
NPI assigned
May 10, 2017
Last updated
May 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Authorized official

Name
Dr. Ude U Ude, PHARMDNPI 1881197713
Title
Pharmacist
Phone
31456005329

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X 2013031924 MO Primary

Addresses

Primary practice location

4430 Missouri Ave
Glwach
Fort Leonard Wood, MO 65473-9098

Mailing address

118A Edna
Waynesville, MO 65583-7875
Phone (314) 600-5329

National Provider Directory

National Provider Directory
Tax ID family
McDonald Army Health Care Center200 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 3

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1619403748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118A EDNA",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655837875",
            "telephone_number": "314-600-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 MISSOURI AVE",
            "address_2": "GLWACH",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654739098",
            "telephone_number": "573-596-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLWACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-10",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "UDE",
        "authorized_official_first_name": "UDE",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "31456005329",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "MO",
            "license": "2013031924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 10, 2017; 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.