NPIMap

Organization Active NPI

Womack Army Medical Center

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Bragg, NC
National Provider Identifier
1962616490
Registry record updated Feb 11, 2013
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
Practice address
6744 Logistics Ave
BLDG M-4861
Fort Bragg, NC 28310-0001
Phone
(910) 907-9262
NPI assigned
May 10, 2007
Organization subpart
Yes
Parent organization
WOMACK ARMY MEDICAL CENTERAs reported in NPPES

Authorized official

NPPES NPI Registry
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

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

Locations

6744 Logistics Ave
Fort Bragg, NC 28310

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

6744 Logistics Ave
BLDG M-4861
Fort Bragg, NC 28310-0001

Mailing address

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

Other identifiers 4

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

Other names 1

NPPES NPI Registry
  • JOEL CLINIC Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 11, 2013.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360540800000",
    "number": "1962616490",
    "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": "6744 LOGISTICS AVE",
            "address_2": "BLDG M-4861",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283100001",
            "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": "2007-05-10",
        "last_updated": "2013-02-11",
        "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 CMS 1500 PROVIDER ID",
            "identifier": "0294A",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARENT FACILITY NPI",
            "identifier": "1740377423",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS UB-04 PROVIDER ID",
            "identifier": "00539",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PHARMACY ID",
            "identifier": "0465Y",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOEL CLINIC",
            "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 Feb 11, 2013; 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.