EBH 5TH GROUP-CAMPBELL
NPI 1649665852
Clinic/Center - Military/U.S. Coast Guard Outpatient in Fort Campbell, KY

Q: What is Blanchfield Army Community Hospital's NPI number?

The NPI number for Blanchfield Army Community Hospital is 1649665852. It was assigned to this organization in the NPPES registry on April 3, 2015. The provider is doing business as Ebh 5th Group-Campbell.

Q: 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.

Active since April 03, 2015

6102 TENNESSEE AVE, FORT CAMPBELL, KY 42223(270) 461-0600 Get Directions Write a Review

NPPES record last updated: April 3, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ebh 5th Group-campbell NPPES

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

EBH 5TH GROUP-CAMPBELL (NPI 1649665852) is a healthcare organization registered as a military/u.s. coast guard outpatient in Fort Campbell, Kentucky and active in the NPI registry since April 2015. The organization lists Sharon Tucker, Ubo Manager, as its authorized official.

NPPES Registry Identity

NPI1649665852

Entity TypeOrganization

Primary Taxonomy261QM1100X

Legal Business NameBLANCHFIELD ARMY COMMUNITY HOSPITAL

Location Address6102 TENNESSEE AVEFort Campbell, KY 42223-5940

Mailing Address650 Joel Dr, Attn UboFort Campbell, KY 42223-5318 · (270) 798-8286

Phone(270) 461-0600

Organization SubpartYes

Authorized OfficialSharon TuckerUbo Manager · (270) 798-8286

Enumeration DateApril 3, 2015

✔ NPI 1649665852 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.

6102 TENNESSEE AVE, Fort Campbell, KY 42223

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Other Names 1

Doing Business AsEbh 5th Group-campbell

Other Identifiers 1

Other1417044702Parent Facility Blanchfield Ach Npi 2

Other Providers at the Same Location NPPES 7

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

MRS. KARIN CHRISTINE MENDOZA MSN, RN

Registered Nurse (Psychiatric/Mental Health)