GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL (NPI# 1942529961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942529961 |
| Entity Type | Organization |
| Organization Name | GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL |
| Other Organization Name | OZARK FAMILY-CENTERED MEDICAL HOME |
| Practice Address |
194 Eastlawn Ave Suite D Saint Robert MO 65584-3701 |
| Mailing Address |
126 Missouri Ave Attn Mcxp Rmd Ub Box 1242 Uniform Business Office Fort Leonard Wood MO 65473-8952 |
| Practice Telephone | 5735960402 |
| Mailing Telephone | 5735960494 |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2013-01-22 |
| Authorized Official Name | NANCY LAMBERT (CHIEF, UBO) |
| Authorized Official Telephone | 5735960494 |
| Is Organization Subpart | Y |
| Parent Organization Name | GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1100X |
Clinic/Center Specialization: Military/U.S. Coast Guard Outpatient |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PARENT FACILITY NPI 2 | 1225083249 | 01 |
| Other Name | Type Code |
|---|---|
| OZARK FAMILY-CENTERED MEDICAL HOME | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1225083249 | General Leonard Wood Army Community Hospital | Clinic/Center | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2006-05-24 |
| 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 |
194 EASTLAWN AVE SUITE D |
| City | SAINT ROBERT |
| State | MO |
| Zip Code | 65584-3701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811209646 | General Leonard Wood Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 194 Eastlawn Ave, Saint Robert, MO 65584-3701 | 2010-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965851 | Ema Francesca Carman | Behavior Technician | 496 Historic Route 66, Saint Robert, MO 65584 | 2020-02-24 |
| 1982105177 | Clayton Harmening | Behavior Technician | 122 Kale Ct, Saint Robert, MO 65584 | 2018-02-23 |
| 1467894972 | Robert Duaine Knapp | Dentist | 255 Eastlawn, Saint Robert, MO 65584 | 2013-07-25 |
| 1417293499 | Willie James Curry | Counselor | 571 Old Route 66, Saint Robert, MO 65584 | 2012-12-20 |
| 1760730329 | Aaron Jacob Weisberger | Dentist | 155 Kale Ct, St. Robert, MO 65584 | 2012-08-29 |
| 1023281615 | George H Bailey Dds PC | Dentist | 255 Eastlawn Ave, St Robert, MO 65584 | 2008-04-04 |
| 1053444323 | James Brandon Reeves | Physical Therapist | 608 Old Rt. 66, St. Robert, MO 65584 | 2007-03-14 |
| 1760513998 | Primrose Residential Care | Clinic/Center | 121 Primrose Lane, St. Robert, MO 65584 | 2007-03-08 |
| 1417038597 | Wal-mart Stores East, Lp | Technician/Technologist | 185 St. Robert Blvd., St. Robert, MO 65584 | 2006-10-17 |
| 1316976582 | Saima Jabeen | Internal Medicine | 608 City Route 66, St. Robert, MO 65584 | 2006-07-01 |
| Find all providers in zip 65584 | ||||
| Taxonomy Code | 261QM1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Military/U.S. Coast Guard Outpatient |
| 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. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: title modified, definition added; 7/1/2006 title modified, definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952804668 | Equi-librium Therapy Center | Clinic/Center | 1148 S Courtney Ln, Rogersville, MO 65742-4501 | 2018-03-09 |
| 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 |
| 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 |
| 1063617272 | General Leonard Wood Army Community Hospital | Clinic/Center | 126 Missouri Ave, Usadc, Fort Leonard Wood, MO 65473-8952 | 2007-06-18 |
| 1760687214 | General Leonard Wood Army Community Hospital | Clinic/Center | 1724 Nebraska Ave, Building 1608, Fort Leonard Wood, MO 65473-8939 | 2007-06-15 |
| 1861605404 | Munson Army Health Center | Clinic/Center | 15431 Andrews Rd, Kansas City, MO 64147-1221 | 2007-05-08 |
| City | SAINT ROBERT |
| Zip Code | 65584 |
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.