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SCREAMING EAGLE MEDICAL HOME-CAMPB
NPI 1275846263
Clinic/Center - Military/U.S. Coast Guard Outpatient in Clarksville, TN

Active since July 19, 2010
647 DUNLOP LN, GATEWAY MEDICAL CENTER MEDICAL OFFICE BLDG ONE, CLARKSVILLE, TN 37040(270) 461-5019 Get Directions Write a Review

NPPES record last updated: January 3, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Screaming Eagle Medical Home-campb NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCREAMING EAGLE MEDICAL HOME-CAMPB (NPI 1275846263) is a healthcare organization registered as a military/u.s. coast guard outpatient in Clarksville, Tennessee and active in the NPI registry since July 2010. The organization lists Liza J O'neal, C, Pad, as its authorized official.

NPPES Registry Identity

NPI1275846263
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business NameBLANCHFIELD ARMY COMMUNITY HOSPITAL
Location Address647 DUNLOP LN, GATEWAY MEDICAL CENTER MEDICAL OFFICE BLDG ONEClarksville, TN 37040-5165
Mailing Address650 Joel Dr, Attn UboFort Campbell, KY 42223-5318 · (270) 798-8286
Phone(270) 461-5019
Organization SubpartYes
Authorized OfficialLiza J O'nealC, Pad · (270) 798-8491
Enumeration DateJuly 19, 2010
Last NPPES UpdateJanuary 3, 2013
✔ NPI 1275846263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Military/U.S. Coast Guard OutpatientAmbulatory Health Care Facilities
Taxonomy Code261QM1100X
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.
647 DUNLOP LN, Clarksville, TN 37040
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Other Names 1

Doing Business AsScreaming Eagle Medical Home-campb

Other Identifiers 1

Other1417044702Parent Billing Npi

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH EISEN ELLIS MD
Anesthesiology
647 DUNLOP LN, SUITE 305
CLARKSVILLE, TN 37040
Montgomery County (931) 802-5515
PAIN MANAGEMENT OF MIDDLE TENNESSEE PLLC
Pain Medicine (Pain Medicine)
647 DUNLOP LN, STE 305 PMB 31
CLARKSVILLE, TN 37040
Montgomery County (931) 802-5515
MRS. AMY HOLLOWAY APRN
Nurse Practitioner (Family)
647 DUNLOP LN
CLARKSVILLE, TN 37040
Montgomery County (931) 551-8991
EWA ANTONCZYK MD
Internal Medicine
647 DUNLOP LN, SUITE 108
CLARKSVILLE, TN 37040
Montgomery County (931) 502-3660
HEIDI R. NUSSBAUMER-STORY N.P.
Nurse Practitioner
647 DUNLOP LN, SUITE 100
CLARKSVILLE, TN 37040
Montgomery County (931) 551-8991
THEODORE F RITZER MD
Internal Medicine (Cardiovascular Disease)
647 DUNLOP LN, STE 101
CLARKSVILLE, TN 37040
Montgomery County (931) 502-3750

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blanchfield Army Community Hospital's NPI number?

The NPI number for Blanchfield Army Community Hospital is 1275846263. It was assigned to this organization in the NPPES registry on July 19, 2010. The provider is doing business as Screaming Eagle Medical Home-Campb.

Where is Blanchfield Army Community Hospital located?

Blanchfield Army Community Hospital is located at 647 Dunlop Ln Gateway Medical Center Medical Office Bldg One, Clarksville, TN 37040. The listed phone number is (270) 461-5019.

What is Blanchfield Army Community Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient, with taxonomy code 261QM1100X.

When was this NPI record last updated?

The NPPES record for Blanchfield Army Community Hospital was last updated on January 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.