# BLANCHFIELD ARMY COMMUNITY HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BLANCHFIELD ARMY COMMUNITY HOSPITAL
- **Other names:** AVIATION MEDICINE CLIN-CAMPBEL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1073721734
- **Legal business name:** BLANCHFIELD ARMY COMMUNITY HOSPITAL
- **Authorized official:** LIZA J O'NEAL (C, PAD)
- **Authorized official phone:** (270) 798-8491

## Contact information

- **Practice address:** 7149 BLACKSHEEP RUN, FORT CAMPBELL, KY 42223-5318
- **Practice address phone:** (270) 635-8849
- **Mailing address:** 650 JOEL DR, ATTN UBO, FORT CAMPBELL, KY 42223-5318
- **Mailing address phone:** (270) 798-8286

## Taxonomy

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

## Other

- **Enumeration date:** 05/18/2007
- **Last updated:** 01/05/2015
