NPIMap

Organization Active NPI

Womack Army Medical Center

Doing business as Troop & Family Med CL-Ft. Brag

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Pope AFB, NC
National Provider Identifier
1871810044
Registry record updated Apr 7, 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
Troop & Family Med CL-Ft. Brag
Practice address
383 Maynard St
Pope AFB, NC 28308-2321
Phone
(910) 907-9262
NPI assigned
Apr 28, 2010
Last updated
Apr 7, 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 7, 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

383 Maynard St
Pope AFB, NC 28308-2321

Mailing address

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

Other identifiers 4

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

Other names 1

  • TROOP & FAMILY MED CL-FT. BRAG 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

NPI Registry JSON

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396828800000",
    "number": "1871810044",
    "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": "383 MAYNARD ST",
            "city": "POPE AFB",
            "state": "NC",
            "postal_code": "283082321",
            "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": "2010-04-28",
        "last_updated": "2014-04-07",
        "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": [
        {
            "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": "PARENT NPI",
            "identifier": "1740377423",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PHARMACY ID",
            "identifier": "0465Y",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TROOP & FAMILY MED CL-FT. BRAG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pope AFB, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.