# GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL
- **Other names:** USADC BOAK-LEONARD WOOD
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1548656044
- **Legal business name:** GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL
- **Authorized official:** CRAIG PEEL (UBO MANAGER)
- **Authorized official phone:** (573) 596-0494

## Contact information

- **Practice address:** 12720 KANSAS AVE, BLDG 789, FORT LEONARD WOOD, MO 65473
- **Practice address phone:** (573) 596-0388
- **Mailing address:** 4430 MISSOURI AVE, ATTN MCXP RMD UB BOX 1242, FORT LEONARD WOOD, MO 65473-9098
- **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:** 04/10/2015
- **Last updated:** 09/25/2015