USADC BOAK-LEONARD WOOD – NPI #1548656044
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 BOAK-LEONARD WOOD is an AHC clinic located in FORT LEONARD WOOD, MO. NPPES has assigned the NPI number 1548656044 to USADC BOAK-LEONARD WOOD on April 10, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “USADC BOAK-LEONARD WOOD” is a dba name, the actual legal business name for this organization is GENERAL LEONARD WOOD 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 11 years ago on Sep 25, 2015. 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 BOAK-LEONARD WOOD below.

NPI Profile for
GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL

NPI Number
1548656044
Enumeration Date

(more than 11 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
GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL
Doing Business As (dba): USADC BOAK-LEONARD WOOD
Primary location
12720 KANSAS AVE
BLDG 789
FORT LEONARD WOOD, MO 65473
Phone: (573) 596-0388 Fax:
Mailing address
4430 MISSOURI AVE
ATTN MCXP RMD UB BOX 1242
FORT LEONARD WOOD, MO 65473-9098
Phone: (573) 596-0494 Fax:
Organization Subpart
Yes - USADC BOAK-LEONARD WOOD is subpart of another organization.
Authorized Official
CRAIG PEEL
UBO MANAGER
Phone: (573) 596-0494
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.