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Organization
GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL
Active
Organization
GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL
Active
Parent organization
GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL
Other names
RICHARD G. WILSON CTMC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL
Authorized official
NANCY LAMBER (CHIEF, UBO)
(573) 596-0494
Entity
Organization
Contact information
Practice address
ALABAMA AVENUE BLDG 885, FORT LEONARD WOOD, MO 65473-8952
(573) 596-1906
Mailing address
126 MISSOURI AVE, ATTN MCXP RMD UB BOX 1242, FORT LEONARD WOOD, MO 65473-8952
(573) 596-0494
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2633104
PHARMACY NCPDP
—
01
—
AN2598588
MEDCO
—
Enumeration date
05/16/2007
Last updated
01/22/2013
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