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Organization

GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL

Active
Parent organization
GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL
Other names
OZARK FAMILY-CENTERED MEDICAL HOME
Organization subpart
Yes

Provider details

NPI number
Legal business name
GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL
Authorized official
NANCY LAMBERT (CHIEF, UBO)
(573) 596-0494
Entity
Organization

Contact information

Practice address
194 EASTLAWN AVE, SUITE D, SAINT ROBERT, MO 65584-3701
(573) 596-0402
Mailing address
126 MISSOURI AVE, ATTN MCXP RMD UB BOX 1242 UNIFORM BUSINESS OFFICE, FORT LEONARD WOOD, MO 65473-8952
(573) 596-0494

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
1225083249
PARENT FACILITY NPI 2
Enumeration date
06/01/2010
Last updated
01/22/2013
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