GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL (NPI# 1225083249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225083249 |
| Entity Type | Organization |
| Organization Name | GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL |
| Practice Address |
4430 Missouri Ave Fort Leonard Wood MO 65473-9098 |
| Mailing Address |
4430 Missouri Ave Box 1242 Fort Leonard Wood MO 65473-9098 |
| Practice Telephone | 5735960035 |
| Mailing Telephone | 5735960494 |
| Mailing Fax Number | 5735960511 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2014-11-03 |
| Authorized Official Name | NANCY LAMBERT (CHIEF, UBO) |
| Authorized Official Telephone | 5735960494 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1101X |
Clinic/Center Specialization: Military and U.S. Coast Guard Ambulatory Procedure |
Ambulatory Health Care Facilities | ||
| N | 261QM1100X |
Clinic/Center Specialization: Military/U.S. Coast Guard Outpatient |
Ambulatory Health Care Facilities | ||
| N | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers | ||
| N | 341800000X | Military/U.S. Coast Guard Transport | Transportation Services | ||
| Y | 2865M2000X |
Military Hospital Specialization: Military General Acute Care Hospital |
Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 2633065 | 01 | |
| MEDCO | AN2598588 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366812091 | General Leonard Wood Army Community Hospital | Clinic/Center | 7621 Big Piney Rd, Fort Leonard Wood, MO 65473-1572 | 2015-10-07 |
| 1548656044 | General Leonard Wood Army Community Hospital | Clinic/Center | 12720 Kansas Ave, Bldg 789, Fort Leonard Wood, MO 65473 | 2015-04-10 |
| 1568762110 | General Leonard Wood Army Community Hospital | Military Hospital | 126 Missouri Ave., Fort Leonard Wood, MO 65473 | 2010-10-29 |
| 1942529961 | General Leonard Wood Army Community Hospital | Clinic/Center | 194 Eastlawn Ave, Suite D, Saint Robert, MO 65584-3701 | 2010-06-01 |
| 1700081700 | General Leonard Wood Army Community Hospital | Clinic/Center | West 4th and Virginia Street, Fort Leonard Wood, MO 65473 | 2007-06-19 |
| 1114133923 | General Leonard Wood Army Community Hospital | Clinic/Center | 4300 Goodfellow Blvd, Goodfellow Complex Bldg 103d, Saint Louis, MO 63120-1703 | 2007-05-16 |
| 1033325840 | General Leonard Wood Army Community Hospital | Clinic/Center | Alabama Avenue Bldg 885, Fort Leonard Wood, MO 65473-8952 | 2007-05-16 |
| 1306945738 | General Leonard Wood Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 4430 Missouri Ave Bldg 360, Fort Leonard Wood, MO 65473-9098 | 2006-09-22 |
| 1275920076 | General Leonard Wood Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 4430 Missouri Ave, General Leonard Wood Ach, Fort Leonard Wood, MO 65473-9098 | 2015-04-20 |
| 1548657612 | General Leonard Wood Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 4430 Missouri Ave, Glwach Pharmacy, Fort Leonard Wood, MO 65473-9098 | 2015-04-16 |
| Street Address |
4430 MISSOURI AVE |
| City | FORT LEONARD WOOD |
| State | MO |
| Zip Code | 65473-9098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511593 | Kay Lynn Brunt | Military Health Care Provider | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2020-09-01 |
| 1669084208 | Brenda Michelle Helton | Nurse Practitioner | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2020-08-17 |
| 1316565732 | Dalton Dewey | Student in an Organized Health Care Education/Training Program | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2020-07-13 |
| 1538787643 | Kodjo Adam Dodo | Dietitian, Registered | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2020-07-06 |
| 1821613100 | Christopher James Robets | Student in an Organized Health Care Education/Training Program | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2020-06-11 |
| 1760007355 | Zaine Robert Dugan | Student in an Organized Health Care Education/Training Program | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2020-06-10 |
| 1134753031 | Jeremiah Leaming | Nurse Practitioner | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2020-02-28 |
| 1700418167 | Diana Alvarado | Social Worker | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2020-02-04 |
| 1336789767 | Jonathan Weiser | Physician Assistant | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2020-01-14 |
| 1669017562 | Benjamin Earle | Physician Assistant | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2019-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770192759 | Clara Boo Chai | Physician Assistant | General Leonard Wood Army Community Hospital, 4430 Missouri Ave, #1267, Fort Leonard Wood, MO 65473 | 2020-07-27 |
| 1982198453 | Traci Anne Shambo | Dental Hygienist | Bldg. 400 Virginia Ave, Fort Leonard Wood, MO 65473 | 2018-06-19 |
| 1083133771 | Mary Joan Klemp | Family Medicine | Ganeral Leonard Wood Army Community Hospital, 4430 Missouri Ave; Meddac Case Management; Primary Care, Fort Leonard Wood, MO 65473 | 2017-09-13 |
| 1255791851 | Sarah Elizabeth Joy | Physician Assistant | 885 West 16th Street, Fort Leonard Wood, MO 65473 | 2016-02-25 |
| 1548626948 | Jaimie-lee Musen | Physical Therapist | 4430 Missouri Ave, Glwach, Fort Leonard Wood, MO 65473 | 2016-01-14 |
| 1609240852 | Angela Carson | Registered Nurse | 4330 Missouri Avenue, Fort Leonard Wood, MO 65473 | 2015-11-25 |
| 1811379407 | Katharine Leigh Stringer | Dentist | 12720 Kansas Avenue, Fort Leonard Wood, MO 65473 | 2015-06-19 |
| 1548656044 | General Leonard Wood Army Community Hospital | Clinic/Center | 12720 Kansas Ave, Bldg 789, Fort Leonard Wood, MO 65473 | 2015-04-10 |
| 1740670314 | Terricka Stewart | Specialist/Technologist | 885 West 16th St., Fort Leonard Wood, MO 65473 | 2015-02-03 |
| 1427467265 | Dianna Morrison | Social Worker | 4430 Missouri Ave Box 1278, Fort Leonard Wood, MO 65473 | 2014-08-06 |
| Find all providers in zip 65473 | ||||
| Taxonomy Code | 2865M2000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| Specialization | Military General Acute Care Hospital |
| A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in "fixed" facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A "fixed" facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as "pass-through" items. |
| Notes: [1/1/2005: title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902104284 | General Leonard Wood Army Community Hospital | Military Hospital | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2011-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093113748 | Renita Mitchell | Military Hospital | 10326 Chesley Dr, Saint Louis, MO 63136-2359 | 2014-12-11 |
| 1962946053 | Mary Ellen Rollins | Military Hospital | 800 Hospital Dr, Columbia, MO 65201-5275 | 2016-12-08 |
| 1104220391 | Kcva | Military Hospital | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2014-10-16 |
| 1962722462 | Kansas City Va Medical Center | Military Hospital | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2010-06-07 |
| City | FORT LEONARD WOOD |
| Zip Code | 65473 |
Please comment or provide details below to improve the information on GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.