FT LEONARD WOOD WTU (NPI# 1033419767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033419767 |
| Entity Type | Organization |
| Organization Name | FT LEONARD WOOD WTU |
| Practice Address |
Bld 312 Room 12 Ft Leonard Wood MO 65473 |
| Mailing Address |
29690 Monroe Road 307 Shelbina MO 63468-2403 |
| Practice Telephone | 5735860179 |
| Mailing Telephone | 5735860179 |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2010-10-28 |
| Authorized Official Name | MS. TAMARA KAY GREENWELL (RN NURSE CASE MANAGER) |
| Authorized Official Telephone | 5735860179 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | 137163 | MO | Hospitals |
| Street Address |
BLD 312 ROOM 12 |
| City | FT LEONARD WOOD |
| State | MO |
| Zip Code | 65473 |
| 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 | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346652484 | Luana Von Hall | Military Hospital | 2080 Shirley Dr, Florissant, MO 63031-5448 | 2014-05-23 |
| 1568762110 | General Leonard Wood Army Community Hospital | Military Hospital | 126 Missouri Ave., Fort Leonard Wood, MO 65473 | 2010-10-29 |
| 1366624165 | Sharon Kay Steele | Military Hospital | 1510 Highway Jj Lot41, Moberly, MO 65270 | 2007-12-04 |
| 1619403748 | Glwach | Military Hospital | 4430 Missouri Ave, Glwach, Fort Leonard Wood, MO 65473-9098 | 2017-05-10 |
| 1295184281 | The Kansas City Va Medical Center | Military Hospital | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2016-06-09 |
| 1427418821 | Cherryl Rainey | Military Hospital | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2016-02-26 |
| 1902263098 | United States Army | Military Hospital | 4430 Missouri Ave, Box 1267, Fort Leonard Wood, MO 65473-9098 | 2016-01-21 |
| 1578872545 | General Leonard Wood Army Community Hospital | Military Hospital | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2010-09-24 |
| 1588971824 | Felicia Hicks | Military Hospital | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2010-09-08 |
| 1861725285 | Jamie Renee Fickert | Military Hospital | 1 Jefferson Barracks Dr, Saint Louis, MO 63125-4181 | 2009-09-16 |
| Find all providers with the same taxonomy | ||||
| City | FT LEONARD WOOD |
| Zip Code | 65473 |
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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.