NPIMap

Organization Active NPI

Moncrief Army Hospital

  • Military Hospital
  • Columbia, SC
National Provider Identifier
1114391802
Registry record updated Nov 19, 2015
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Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
License
7985 Issued in SC
Legal business name
MONCRIEF ARMY HOSPITAL
Practice address
4500 Stuart St
Columbia, SC 29207-5700
Phone
(803) 751-2253
NPI assigned
Nov 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Latoya M Wanser
Title
Credentials Manager
Phone
(803) 751-5688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X 7985 SC Primary

Addresses

Primary practice location

4500 Stuart St
Columbia, SC 29207-5700

Mailing address

4500 Stuart St
Columbia, SC 29207-5700
Phone (803) 751-2253

National Provider Directory

National Provider Directory
Tax ID family
US Army42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1114391802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 STUART ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292075700",
            "telephone_number": "803-751-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 STUART ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292075700",
            "telephone_number": "803-751-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONCRIEF ARMY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "WANSER",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALS MANAGER",
        "authorized_official_telephone_number": "803-751-5688",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "SC",
            "license": "7985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.