Organization · Type 2 NPI

Blanchfield Army Community Hospital

Military/U.S. Coast Guard Outpatient Clinic/Center · Clarksville, TN

NPI number 1275846263 Active

Practice location

647 Dunlop Ln, Gateway Medical Center Medical Office Bldg One
Clarksville, TN 37040-5165

Call (270) 461-5019 Map

Mailing address

650 Joel Dr, Attn Ubo
Fort Campbell, KY 42223-5318

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…

6 other providers at this address

NPI record

NPI: 1275846263
Entity type: Organization (Type 2)
Issued: Jul 19, 2010
Last updated: Jan 3, 2013
Status: Active
Subpart: Yes of Blanchfield Army Community Hospital

Other names

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Screaming Eagle Medical Home-Campb · doing business as

Authorized official

Liza J O'Neal
C, Pad
(270) 798-8491

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1275846263

Blanchfield Army Community Hospital's National Provider Identifier is 1275846263, issued on Jul 19, 2010. The primary taxonomy on file is Military/U.S. Coast Guard Outpatient Clinic/Center (261QM1100X), and the practice location is in Clarksville, TN. The record was last updated on Jan 3, 2013.