National Provider Identifier Database

US ARMY
Military General Acute Care Hospital. Operational (Transportable)

A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in ?non-fixed? or deployed facilities. Entity is not Defense Health Program funded. Services are primarily intended for DoD active duty though some services may be furnished for non-DoD active duty. ?Non-fixed? facilities are generally deployed DoD health care activities, not providing services on or in association with a DoD fort or base. ?Non-fixed? facilities include hospital ships.


Contact Information

US ARMY
650 JOEL DR
C/O DON BLACK, BLUE CLINIC
FORT CAMPBELL, KY42223-5318
Phone: 270-956-0178
Fax:
Website:
Specialty Taxonomy Code
* Military General Acute Care Hospital. Operational (Transportable) 2865X1600X

* Indicates primary specialty

NPI Profile & details for US ARMY

NPI Number 1205145695
Legal business name
LBN
US ARMY
Authorized official DONALD BLACK - (IPAP PHASE 2 DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 10/01/2010
Last updated 10/01/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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