DEPARTMENT OF DEFENSE (NPI# 1649627605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649627605 |
| Entity Type | Organization |
| Organization Name | DEPARTMENT OF DEFENSE |
| Practice Address |
650 Joel Dr Blanchfield Army Community Hospital (ip-pharmacy) Fort Campbell KY 42223-5318 |
| Mailing Address |
1925 Ashland City Rd Apt 408 Clarksville TN 37043-5298 |
| Practice Telephone | 2707988069 |
| Mailing Telephone | 5133076312 |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2016-05-19 |
| Authorized Official Name | MR. JOHN KENNETH SANDERS (STAFF PHARMACIST) |
| Authorized Official Telephone | 2707988069 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | 0313389 | OH | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851668834 | Department of Defense | Physician Assistant | 41st Street, Bldg 40709 Room 207 Ddeamc; Meb, Pad, Fort Gordon, GA 30905 | 2011-11-19 |
| 1588654990 | Department of Defense | Clinic/Center | 14450 Smoketown Rd, Woodbridge, VA 22192-4712 | 2005-10-26 |
| 1437502325 | Department of Defense | Clinic/Center | 11050 Mount Belvedere Blvd, Apo, AA 13602-5438 | 2016-07-15 |
| 1669898623 | Department of Defense | Registered Nurse | 5955 Zeamer Ave, Anchorage, AK 99506-3702 | 2014-03-13 |
| 1992772370 | Department of Defense | Military Hospital | 1650 Cochrane Cir, Ft Carson, CO 80913-4603 | 2006-03-03 |
| Street Address |
650 JOEL DR BLANCHFIELD ARMY COMMUNITY HOSPITAL (IP-PHARMACY) |
| City | FORT CAMPBELL |
| State | KY |
| Zip Code | 42223-5318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982601803 | Carol Lynn Pasewark | Counselor | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2005-07-07 |
| 1568063519 | Jeremy Schadewald | Physician Assistant | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-11-05 |
| 1578164760 | Brandi Mangan | Nurse Practitioner | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-11-04 |
| 1912506692 | Rose Dunn | Optometrist | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-10-22 |
| 1659989440 | Patrick Ogden | Student in an Organized Health Care Education/Training Program | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-07-17 |
| 1487262408 | John William Zamora | Physician Assistant | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-07-15 |
| 1295343218 | Joshua Ryan Agard | Physician Assistant | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-07-15 |
| 1902424435 | Shaina Escribano-miranda | Nurse Practitioner | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-07-10 |
| 1326665514 | Cristal Lagail Trotter | Nurse Anesthetist, Certified Registered | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-07-03 |
| 1689209728 | William James Bradshaw | Physician Assistant | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978825 | Eden Addisu Kebede | Social Worker | Ft. Campbell/bach, 650 Joel Drive, Fort Campbell, KY 42223 | 2020-09-30 |
| 1174134662 | Lucas Pepper | Dentist | Desert Storm Ave, Bldg 5580, Apo, AA 42223 | 2020-08-10 |
| 1639711203 | Travis Robert Bryant | Optometrist | 5979 Desert Storm Ave., Lapointe Health Clnic Optometry, Ft. Campbell, KY 42223 | 2019-10-15 |
| 1184138232 | Vanessa Renee Simmons | Dental Assistant | 302b Baker St, Fort Campbell, KY 42223 | 2017-11-28 |
| 1922451996 | Isabella Julson | Dental Assistant | Bldg2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-07-14 |
| 1336595305 | Heidi Cameron | Acupuncturist | 2889b Idaho Avenue, Fort Campbell, KY 42223 | 2016-05-10 |
| 1649644154 | Nathan Silvey | Physician Assistant | Building 4179, Fort Campbell, KY 42223 | 2015-11-20 |
| 1396145306 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 2403, Air Assault St and Indiana Ave, Fort Campbell, KY 42223 | 2014-08-27 |
| 1275948564 | Rodney C Merkley | Psychologist | Building 3929, Ft. Capmbell, KY 42223 | 2014-06-25 |
| 1659785053 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 6747 A Shau Valley Road, Fort Campbell, KY 42223 | 2014-06-13 |
| Find all providers in zip 42223 | ||||
| Taxonomy Code | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396986220 | Blanchfield Army Community Hospital | Military Hospital | Bldg 2524 22nd Street, Fort Campbell, KY 42223 | 2009-03-24 |
| 1003285776 | Blanchfiled Army Community Hospital | Military Hospital | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2015-09-23 |
| 1477795672 | Blanchfield Army Community Hospital | Military Hospital | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2009-04-02 |
| 1902042328 | Blanchfield Army Community Hospital | Military Hospital | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2009-01-07 |
| 1053525816 | Scott Alan Wilchek | Military Hospital | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265830178 | Frederick Turner | Military Hospital | 1007 Royal Gardens Ct Apt 5, Louisville, KY 40214-4643 | 2014-12-09 |
| 1982954574 | Department of Veterans Affair | Military Hospital | 800 Zorn Ave, Louisville, KY 40206-1433 | 2012-09-11 |
| 1457635591 | Veterans Hospital Adminisrtation | Military Hospital | 800 Zorn Ave, Louisville, KY 40206-1433 | 2011-10-07 |
| 1104871359 | Veterans Administration Medical Center | Military Hospital | 800 Zorn Ave, Louisville, KY 40206-1433 | 2006-05-24 |
| City | FORT CAMPBELL |
| Zip Code | 42223 |
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| 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.