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BLANCHFIELD ARMY COMMUNITY HOSPITAL NPI 1336575497


NPI Information

NPI: 1336575497
Provider Name: BLANCHFIELD ARMY COMMUNITY HOSPITAL

Doing Business As: EBH4-FT. CAMPBELL

Classification: Clinic/Center - 261QM1100X
Entity Type: Organization

Specialization: Military/U.S. Coast Guard Outpatient

Address:
TOCCOA ROAD BLDG 70344
FORT CAMPBELL, KY
ZIP 42223
Phone: (270) 798-8400
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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 1336575497. The provider is registered as an organization entity type.
The provider Is Doing Business As Ebh4-ft. Campbell.

The provider's business location address is:

TOCCOA ROAD BLDG 70344
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.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1100XClinic/CenterMilitary/U.S. Coast Guard OutpatientYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1VAD000MEDICARE UPIN

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: 11/14/2023

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