GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL


Address: 4300 Goodfellow Blvd, Goodfellow Complex Bldg 103d, Saint Louis, MO 63120-1703
Phone: 5735960035

GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL (NPI# 1114133923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114133923
Entity Type Organization
Organization Name GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL
Other Organization Name USA OCCUP HLTH CLIN-GOODFELLOW
Practice Address 4300 Goodfellow Blvd
Goodfellow Complex Bldg 103d
Saint Louis
MO 63120-1703
Mailing Address 4430 Missouri Ave
Box 1242
Fort Leonard Wood
MO 65473-9098
Practice Telephone 5735960035
Mailing Telephone 5735960494
Enumeration Date 2007-05-16
Last Update Date 2014-04-18
Authorized Official Name NANCY LAMBERT (UBO MANAGER)
Authorized Official Telephone 5735960494
Is Organization Subpart Y
Parent Organization Name GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL

Taxonomy

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

Other Provider/Organization Names

Other Name Type Code
USA OCCUP HLTH CLIN-GOODFELLOW Doing Business As Name - Organization

Other Provider IDs and Locations

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
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

Office Location

Street Address 4300 GOODFELLOW BLVD
GOODFELLOW COMPLEX BLDG 103D
City SAINT LOUIS
State MO
Zip Code 63120-1703

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Taxonomy Information

Taxonomy Code 261QM1100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Military/U.S. Coast Guard Outpatient

Taxonomy Definition

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]

Providers in the same taxonomy and state

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
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
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

Competitor

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City SAINT LOUIS
Zip Code 63120

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Dataset Information

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.

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