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

Q: What is General Leonard Wood Army Community Hospital's specialty?

The primary specialty registered for this NPI is Military Hospital, specializing in Military General Acute Care Hospital, with taxonomy code 2865M2000X.

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: August 23, 2026.

On this page

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

Phone(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

★ Primary SpecialtyMilitary Hospital · Military General Acute Care HospitalHospitals

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

Open in Google Maps ↗

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.

DR. BRENDAN DAUGHARTY GRIFFIS DO

Anesthesiology

126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473

Pulaski County (573) 596-0471

VICTORIA ANNE GRUBE

Specialist/Technologist, Pathology (Immunology)

126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473

Pulaski County (573) 596-1682

SHANNON RAE MATHERLY CRT

Respiratory Therapist, Certified

126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473

Pulaski County (573) 596-0131

NICHOLAS DOBBS

Physical Therapy Assistant

126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473

Pulaski County (573) 596-1707

MRS. SHAUNIA ROBERTS LPN

Licensed Practical Nurse

126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473

Pulaski County (573) 596-1766

DEBBIE JEAN ROBERTS

Specialist/Technologist (Audiology Assistant)

126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473

Pulaski County (573) 596-0131

MRS. KATHY LYNN MULLIHAN

Registered Nurse (Emergency)

126 MISSOURI AVE
FT. LEONARD WOOD, MO 65473

Pulaski County (573) 596-0456

RICKEY RODGER MARTIN PA

Physician Assistant (Medical)

126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473

Pulaski County (573) 596-0417

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 General Leonard Wood Army Community Hospital's NPI number?

The NPI number for General Leonard Wood Army Community Hospital is 1902104284. It was assigned to this organization in the NPPES registry on March 10, 2011. The provider is also known as Meddac.

Where is General Leonard Wood Army Community Hospital located?

General Leonard Wood Army Community Hospital is located at 126 Missouri Ave, Fort Leonard Wood, MO 65473. The listed phone number is (573) 596-1770.

What is General Leonard Wood Army Community Hospital's specialty?

The primary specialty registered for this NPI is Military Hospital, specializing in Military General Acute Care Hospital, with taxonomy code 2865M2000X.

When was this NPI record last updated?

The NPPES record for General Leonard Wood Army Community Hospital was last updated on March 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.