NPIMap

Organization Active NPI

Womack Army Medical Center

Doing business as EBH East Bragg Clin-Ft. Bragg

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Bragg, NC
National Provider Identifier
1801215660
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
WOMACK ARMY MEDICAL CENTER
Doing business as
EBH East Bragg Clin-Ft. Bragg
Practice address
2857 Watson St
BLDG M-1704
Fort Bragg, NC 28310-0001
Phone
(910) 908-5322
NPI assigned
Apr 9, 2014
Last updated
Apr 9, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
WOMACK ARMY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

2857 Watson St
BLDG M-1704
Fort Bragg, NC 28310-0001

Mailing address

2817 Reilly St
MCXC-Dbo-Ub Wamc Stop a
Fort Bragg, NC 28310-7301
Phone (910) 907-6693

Other names 1

  • EBH East Bragg Clin-Ft. Bragg Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Womack Army Medical Center28 organizations share this tax ID, including this one
Part of
Womack Army Medical Center

Other organizations with this tax ID 27

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

View all 27

Locations

2857 Watson St
Fort Bragg, NC 28310
Phone (910) 908-5322

NPI Registry JSON

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1801215660",
    "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": "283107301",
            "telephone_number": "910-907-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2857 WATSON ST",
            "address_2": "BLDG M-1704",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283100001",
            "telephone_number": "910-908-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMACK ARMY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WOMACK ARMY MEDICAL CENTER",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EBH East Bragg Clin-Ft. Bragg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Bragg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.