USADC-4 FT. CAMPBELL – NPI #1306094909
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 examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.

USADC-4 FT. CAMPBELL is an AHC clinic located in FORT CAMPBELL, KY. NPPES has assigned the NPI number 1306094909 to USADC-4 FT. CAMPBELL on September 08, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “USADC-4 FT. CAMPBELL” is a dba name, the actual legal business name for this organization is BLANCHFIELD ARMY COMMUNITY HOSPITAL. The primary taxonomy selected by this provider is 261QM1100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient

The NPI profile was previously updated about 13 years ago on Sep 11, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for USADC-4 FT. CAMPBELL below.

NPI Profile for
BLANCHFIELD ARMY COMMUNITY HOSPITAL

NPI Number
1306094909
Enumeration Date

(about 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLANCHFIELD ARMY COMMUNITY HOSPITAL
Doing Business As (dba): USADC-4 FT. CAMPBELL
Primary location
35TH & DESERT STORM
BLDG 5980
FORT CAMPBELL, KY 42223
Phone: (270) 412-6027 Fax:
Mailing address
650 JOEL DR
ATTN UBO
FORT CAMPBELL, KY 42223-5318
Phone: (270) 798-8286 Fax:
Organization Subpart
Yes - USADC-4 FT. CAMPBELL is subpart of another organization.
Authorized Official
LIZA O'NEAL
C, PAD
Phone: (270) 798-8491
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1100X
- Clinic/Center / Military/U.S. Coast Guard Outpatient (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.