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).
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 |
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 Name | Type Code |
---|---|
USA OCCUP HLTH CLIN-GOODFELLOW | 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 |
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 |
Street Address |
4300 GOODFELLOW BLVD GOODFELLOW COMPLEX BLDG 103D |
City | SAINT LOUIS |
State | MO |
Zip Code | 63120-1703 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427688571 | Jacquelyn Echoles | Non-emergency Medical Transport (VAN) | 5504 Natural Bridge Apt 6 West, St. Louis, MO 63120 | 2020-01-16 |
1922358423 | Smiley Manor | Community Based Residential Treatment Facility, Mental Illness | 5415 Thekla, Saint Louis, MO 63120 | 2012-09-12 |
1841314549 | Eye Fashion Factory | Technician/Technologist | 5800 Natural Bridge, Stlouis, MO 63120 | 2007-03-19 |
1568504488 | Carestl Health | Clinical Medical Laboratory | 5541 Riverview Bld, St Louis, MO 63120 | 2007-02-14 |
1467494062 | Carestl Health #2 | Durable Medical Equipment & Medical Supplies | 5541 Riverview Blvd, Saint Louis, MO 63120 | 2006-06-11 |
1013120096 | Jenn-care Home Nursings & Services Inc | Home Health | 6104 Wyma Ave, Saint Louis, MO 63120-1331 | 2007-05-07 |
1437687639 | Keys Loving Home Care Services LLC | Home Health | 4122 Dressell Ave, Saint Louis, MO 63120-1402 | 2017-06-01 |
1316475510 | Tina Renee Keys | Home Health | 4122 Dressell Ave, Saint Louis, MO 63120-1402 | 2017-06-01 |
1265690515 | Kimberly Dawn Smith | Social Worker | 4205 Dressell Ave, Saint Louis, MO 63120-1403 | 2008-05-22 |
1255798906 | Safe Hand In Home Care Service | Home Health | 5817 Dressell Ave, Saint Louis, MO 63120-1405 | 2016-01-26 |
Find all providers in zip 63120 |
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 |
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 |
City | SAINT LOUIS |
Zip Code | 63120 |
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.