# BLANCHFIELD ARMY COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BLANCHFIELD ARMY COMMUNITY HOSPITAL
- **Other names:** USADC-4 FT. CAMPBELL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1306094909
- **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:** 35TH & DESERT STORM, BLDG 5980, FORT CAMPBELL, KY 42223
- **Practice address phone:** (270) 412-6027
- **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:** 09/08/2008
- **Last updated:** 09/11/2013