NPIMap

Womack Army Medical Center

Organization Active NPI Military/U.S. Coast Guard Outpatient Clinic/Center · Hope Mills, NC

NPI 1134433402 · NPPES record last updated Feb 14, 2013

Key facts

NPI
1134433402
Entity type
Organization (NPI type 2)
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X
Legal business name
WOMACK ARMY MEDICAL CENTER
Practice address
2356 South Peak Drive
Hope Mills, NC 28348
Phone
(910) 907-9262
NPI assigned
Jul 29, 2010
Organization subpart
Yes
Parent organization (as reported)
WOMACK ARMY MEDICAL CENTER

Authorized official

Name
Barbara Black
Title
Ubo Manager
Phone
(910) 907-8537

Corporate family (same tax ID) 27

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

View all 27

National Provider Directory

Tax ID family
Womack Army Medical Center (28 organizations share this tax ID)
Part of
Womack Army Medical Center

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X Yes

Addresses

Primary practice location

2356 South Peak Drive
Hope Mills, NC 28348

Mailing address

2817 Reilly St
MCXC-Dbo-Ub Wamc Stop a
Fort Bragg, NC 28310-7324
Phone (910) 907-6693

Other identifiers

IdentifierTypeStateIssuer
00539OtherBCBS UB-04 PROVIDER ID
0294AOtherBCBS CMS 1500 PROVIDER ID
0465YOtherBCBS PHARMACY ID
1740377423OtherPARENT FACILITY NPI

Other names

  • HOPE MILLS MEDICAL HOME-BRAGG Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 14, 2013.

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1134433402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 REILLY ST",
            "address_2": "MCXC-DBO-UB WAMC STOP A",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283107324",
            "telephone_number": "910-907-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2356 SOUTH PEAK DRIVE",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "28348",
            "telephone_number": "910-907-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMACK ARMY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WOMACK ARMY MEDICAL CENTER",
        "enumeration_date": "2010-07-29",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "UBO MANAGER",
        "authorized_official_telephone_number": "910-907-8537"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS UB-04 PROVIDER ID",
            "identifier": "00539",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CMS 1500 PROVIDER ID",
            "identifier": "0294A",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PHARMACY ID",
            "identifier": "0465Y",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARENT FACILITY NPI",
            "identifier": "1740377423",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOPE MILLS MEDICAL HOME-BRAGG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hope Mills, NC

All providers in Hope Mills, NC · Military/U.S. Coast Guard Outpatient Clinic/Center in North Carolina

Sources for this page

Verify at the official NPI Registry.