# BLANCHFIELD ARMY COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BLANCHFIELD ARMY COMMUNITY HOSPITAL
- **Other names:** EBH5-FT. CAMPBELL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1659785053
- **Legal business name:** BLANCHFIELD ARMY COMMUNITY HOSPITAL
- **Authorized official:** CHAD HALE (ACTING UBO MANAGER)
- **Authorized official phone:** (270) 798-8286

## Contact information

- **Practice address:** BLDG 6747 A SHAU VALLEY ROAD, FORT CAMPBELL, KY 42223
- **Practice address phone:** (270) 798-8967
- **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:** 06/13/2014
- **Last updated:** 06/13/2014