NPIMap

Organization Active NPI

United States Army

  • Military Hospital
  • Fort Leonard Wood, MO
National Provider Identifier
1902263098
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
License
070.021481 Issued in IL
Legal business name
UNITED STATES ARMY
Practice address
4430 Missouri Ave
Box 1267
Fort Leonard Wood, MO 65473-9098
Phone
(573) 596-0417
NPI assigned
Jan 21, 2016
Last updated
Jan 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Authorized official

Name
Sheila R Ham
Title
Chief of Credentialing
Phone
(573) 596-0417

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X 070.021481 IL Primary

Addresses

Primary practice location

4430 Missouri Ave
Box 1267
Fort Leonard Wood, MO 65473-9098

Mailing address

4430 Missouri Ave
Box 1267
Fort Leonard Wood, MO 65473-9098

National Provider Directory

National Provider Directory
Tax ID family
United States Army11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1902263098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430 MISSOURI AVE",
            "address_2": "BOX 1267",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654739098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 MISSOURI AVE",
            "address_2": "BOX 1267",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654739098",
            "telephone_number": "573-596-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED STATES ARMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "HAM",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF OF CREDENTIALING",
        "authorized_official_telephone_number": "573-596-0417"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "IL",
            "license": "070.021481",
            "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 Jan 21, 2016; 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.