# GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Meddac
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902104284
- **Authorized official:** MS. DELORIS R MINKUS REGISTERED NURSE (NURSE SUPERVISER)
- **Authorized official phone:** (573) 596-1770

## Contact information

- **Practice address:** 126 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-8952
- **Practice address phone:** (573) 596-1770
- **Practice address fax:** (573) 596-1797
- **Mailing address:** 126 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-8952
- **Mailing address phone:** (573) 596-1770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2865M2000X | Military General Acute Care Hospital | 154643 | MO | Yes |

## Other

- **Enumeration date:** 03/10/2011
- **Last updated:** 03/10/2011