# GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL
- **Other names:** RICHARD G. WILSON CTMC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1033325840
- **Legal business name:** GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL
- **Authorized official:** NANCY LAMBER (CHIEF, UBO)
- **Authorized official phone:** (573) 596-0494

## Contact information

- **Practice address:** ALABAMA AVENUE BLDG 885, FORT LEONARD WOOD, MO 65473-8952
- **Practice address phone:** (573) 596-1906
- **Mailing address:** 126 MISSOURI AVE, ATTN MCXP RMD UB BOX 1242, FORT LEONARD WOOD, MO 65473-8952
- **Mailing address phone:** (573) 596-0494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 05/16/2007
- **Last updated:** 01/22/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2633104 | PHARMACY NCPDP | — |
| 01 | — | AN2598588 | MEDCO | — |