Provider First Line Business Practice Location Address:
650 JOEL DR
Provider Second Line Business Practice Location Address:
BLANCHFIELD ARMY COMMUNTY HOSPITAL
Provider Business Practice Location Address City Name:
FORT CAMPBELL
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42223-5349
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
270-798-8130
Provider Business Practice Location Address Fax Number:
270-956-0180
Provider Enumeration Date:
01/14/2009