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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
EBH FORSCOM-LEONARD WOOD
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL
Authorized official
CRAIG PEEL (UBO MANAGER)
(573) 596-0494
Entity
Organization
Contact information
Practice address
7621 BIG PINEY RD, FORT LEONARD WOOD, MO 65473-1572
(573) 596-5408
Mailing address
4430 MISSOURI AVE, ATTN MCXP RMD UB BOX 1242, FORT LEONARD WOOD, MO 65473-9098
(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
—
1225083249
PARENT NPI
—
Enumeration date
10/07/2015
Last updated
10/07/2015
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