Organization · Type 2 NPI
General Leonard Wood Army Community Hospital
Military/U.S. Coast Guard Outpatient Clinic/Center · St. Louis, MO
Practice location
4300 Goodfellow Blvd, Goodfellow Complex Bldg 103D
St. Louis, MO 63120-1703
Mailing address
4430 Missouri Ave, Box 1242
Fort Leonard Wood, MO 65473-9098
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military/U.S. Coast Guard Outpatient Clinic/Center Primary | 261QM1100X | None listed |
Military/U.S. Coast Guard Outpatient Clinic/Center: The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as exam…
About NPI 1114133923
General Leonard Wood Army Community Hospital's National Provider Identifier is 1114133923, issued on May 16, 2007. The primary taxonomy on file is Military/U.S. Coast Guard Outpatient Clinic/Center (261QM1100X), and the practice location is in St. Louis, MO. The record was last updated on Apr 18, 2014.