Provider First Line Business Practice Location Address:
BLANCHFIELD COMMUNITY ARMY HOSPITAL
Provider Second Line Business Practice Location Address:
650 JOEL DRIVE
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:
270-461-1563
Provider Business Practice Location Address Fax Number:
270-461-4530
Provider Enumeration Date:
09/19/2012