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Organization

BLANCHFIELD ARMY COMMUNITY HOSPITAL

Active
Parent organization
BLANCHFIELD ARMY COMMUNITY HOSPITAL
Other names
EBH5-FT. 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 6747 A SHAU VALLEY ROAD, FORT CAMPBELL, KY 42223
(270) 798-8967
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 FACILITY BLANCHFIELD ARMY COMMUNITY HOSPITAL NPI 2
Enumeration date
06/13/2014
Last updated
06/13/2014
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