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BLANCHFIELD ARMY COMMUNITY HOSPITAL NPI 1154757219

NPI Profile

NPI: 1154757219

Provider Name: BLANCHFIELD ARMY COMMUNITY HOSPITAL

Doing Business As: EBH3-FT. CAMPBELL

Classification: Clinic/Center - 261QM1100X

Entity Type: Organization

Specialization: Military/U.S. Coast Guard Outpatient

Address:
30TH STREET AND DESERT STORM AVENUE
BLDG 6988
FORT CAMPBELL, KY
ZIP 42223

Phone: (270) 798-8400

BLANCHFIELD ARMY COMMUNITY HOSPITAL is a military/u.s. coast guard outpatient clinic/center in Fort Campbell, KY. The provider is the Defense Health Program or U.S. Coast Guard funded �fixed� facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A �fixed� facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the �fixed� facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. BLANCHFIELD ARMY COMMUNITY HOSPITAL NPI is 1154757219. The provider is registered as an organization entity type.
The provider Is Doing Business As Ebh3-ft. Campbell.

The provider's business location address is:

30TH STREET AND DESERT STORM AVENUE
BLDG 6988
FORT CAMPBELL, KY
ZIP 42223-318
Phone: (270) 798-8400

The provider's authorized official is Liza J O'neal .
The authorized official title is C, Pad and has the following contact phone number (270) 798-8491.

The enumeration date for this NPI number is 9/20/2013 and was last updated on 9/20/2013.

Map - Location of Practice

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 261QM1100X Clinic/Center Military/U.S. Coast Guard Outpatient Yes

What is NPI?
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 8/11/2015