NPIMap

Organization Active NPI

General Leonard Wood Army Community Hospital

  • Military General Acute Care Hospital
  • Fort Leonard Wood, MO
National Provider Identifier
1902104284
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military General Acute Care HospitalTaxonomy code 2865M2000X
License
154643 Issued in MO
Legal business name
GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL
Practice address
126 Missouri Ave
Fort Leonard Wood, MO 65473-8952
Phone
(573) 596-1770
Fax
(573) 596-1797
NPI assigned
Mar 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Authorized official

Name
Ms. Deloris R Minkus, REGISTERED NURSE
Title
Nurse Superviser
Phone
(573) 596-1770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military General Acute Care Hospital 2865M2000X 154643 MO Primary

Addresses

Primary practice location

126 Missouri Ave
Fort Leonard Wood, MO 65473-8952

Mailing address

126 Missouri Ave
Fort Leonard Wood, MO 65473-8952
Phone (573) 596-1770

Other names 1

  • Meddac Other name

National Provider Directory

National Provider Directory
Tax ID family
General Leonard Wood Army Community Hospital5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1902104284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 MISSOURI AVE",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654738952",
            "telephone_number": "573-596-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 MISSOURI AVE",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654738952",
            "telephone_number": "573-596-1770",
            "fax_number": "573-596-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "MINKUS",
        "authorized_official_first_name": "DELORIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "NURSE SUPERVISER",
        "authorized_official_telephone_number": "573-596-1770",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "2865M2000X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital",
            "state": "MO",
            "license": "154643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meddac",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 10, 2011; 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.