MEDDAC
NPI 1902104284
Military Hospital - Military General Acute Care Hospital in Fort Leonard Wood, MO

Active since March 10, 2011
126 MISSOURI AVE, FORT LEONARD WOOD, MO 65473(573) 596-1770(573) 596-1797 Get Directions Write a Review

NPPES record last updated: March 10, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Meddac NPPES

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

MEDDAC (NPI 1902104284) is a healthcare organization registered as a military general acute care hospital in Fort Leonard Wood, Missouri and active in the NPI registry since March 2011. The organization lists Deloris R Minkus, Nurse Superviser, as its authorized official.

NPPES Registry Identity

NPI1902104284
Entity TypeOrganization
Primary Taxonomy2865M2000X
Legal Business NameGENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL
Location Address126 MISSOURI AVEFort Leonard Wood, MO 65473-8952
Mailing Address126 Missouri AveFort Leonard Wood, MO 65473-8952 · (573) 596-1770
Fax(573) 596-1797
Organization SubpartNo
Authorized OfficialDeloris R MinkusNurse Superviser · (573) 596-1770
Enumeration DateMarch 10, 2011
NPI 1902104284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code2865M2000X
License Licensed in MO · 154643
Definition

A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in fixed facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A fixed facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as pass-through items.

126 MISSOURI AVE, Fort Leonard Wood, MO 65473

Other Names 1

Other NameMeddac

Other Providers at the Same Location NPPES 20

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

Physician Assistant
126 MISSOURI AVE, GLWACH ATTN MCXP CCS CR
FORT LEONARD WOOD, MO 65473
Nurse Anesthetist, Certified Registered
126 MISSOURI AVE, GLWACH ATTN MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473
Nurse Practitioner (Pediatrics)
126 MISSOURI AVE, GLWACH ATTN MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
126 MISSOURI AVE, GLWACH ATTN: MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473
Pathology (Anatomic Pathology & Clinical Pathology)
126 MISSOURI AVE, GLWACH ATTN: MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473
Urology
126 MISSOURI AVE, GLWACH ATTN MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473
General Practice
126 MISSOURI AVE, GLWACH ATTN: MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473
Counselor (Mental Health)
126 MISSOURI AVE, GLWACH ATTN MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902104284, enumerated as an "organization" on March 10, 2011.

The provider is located at 126 MISSOURI AVE FORT LEONARD WOOD, MO 65473 and the phone number is (573) 596-1770.

Military Hospital with taxonomy code 2865M2000X and a focus in Military General Acute Care Hospital.