Organization
BLANCHFIELD ARMY COMMUNITY HOSPITAL
Active
Parent organization
BLANCHFIELD ARMY COMMUNITY HOSPITAL
Other names
ARMY INTREPID SPIRIT-CAMPBELL
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLANCHFIELD ARMY COMMUNITY HOSPITAL
Authorized official
CHAD HALE (ACTING UBO MANAGER)
(270) 798-8286
Entity
Organization
Contact information
Practice address
BLDG 2403, AIR ASSAULT ST AND INDIANA AVE, FORT CAMPBELL, KY 42223
(270) 798-9720
Mailing address
650 JOEL DR, ATTN UBO, FORT CAMPBELL, KY 42223-5318
(270) 798-8286
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
—
1417044702
PARENT BLANCHFIELD ACH NPI 2
—
Enumeration date
08/27/2014
Last updated
08/27/2014
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