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General NPI Number Information
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NPI Number | 1528185857
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Entity Type | Organization
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Legal Business Name | BLANCHFIELD ARMY COMMUNITY HOSPITAL
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 650 JOEL DR
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City | FORT CAMPBELL
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State | KY
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Zip | 42223-5318
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Country | US
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Telephone | 270-798-8219
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Fax |
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Provider Business Mailing Address
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Address Line | 1793 ALASKA AVE
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City | FORT CAMPBELL
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State | KY
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Zip | 42223
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | HEAD NURSE
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Name | MRS. KRISTIN ANN BROWN
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Credential | CNM
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Telephone | 270-798-8219
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State | OR
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