WOMACK ARMY MEDICAL CENTER (NPI# 1134433402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134433402 |
Entity Type | Organization |
Organization Name | WOMACK ARMY MEDICAL CENTER |
Other Organization Name | HOPE MILLS MEDICAL HOME-BRAGG |
Practice Address |
2356 South Peak Drive Hope Mills NC 28348 |
Mailing Address |
2817 Reilly St Mcxc-dbo-ub Wamc Stop A Fort Bragg NC 28310-7324 |
Practice Telephone | 9109079262 |
Mailing Telephone | 9109076693 |
Enumeration Date | 2010-07-29 |
Last Update Date | 2013-02-14 |
Authorized Official Name | BARBARA BLACK (UBO MANAGER) |
Authorized Official Telephone | 9109078537 |
Is Organization Subpart | Y |
Parent Organization Name | WOMACK ARMY MEDICAL CENTER |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1100X |
Clinic/Center Specialization: Military/U.S. Coast Guard Outpatient |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BCBS PHARMACY ID | 0465Y | 01 | |
PARENT FACILITY NPI | 1740377423 | 01 | |
BCBS CMS 1500 PROVIDER ID | 0294A | 01 | |
BCBS UB-04 PROVIDER ID | 00539 | 01 |
Other Name | Type Code |
---|---|
HOPE MILLS MEDICAL HOME-BRAGG | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356907471 | Womack Army Medical Center | Military/U.S. Coast Guard Pharmacy | 4-2817 Reilly Rd Bldg B, Fort Bragg, NC 28310-0001 | 2019-05-14 |
1891246708 | Womack Army Medical Center | Pharmacy | 1571 Reilly Rd, Bldg 4, Ft Bragg, NC 28307 | 2016-10-17 |
1861867293 | Womack Army Medical Center | Military Hospital | 2817 Reily Road, Fort Bragg, NC 28317 | 2015-12-10 |
1700250248 | Womack Army Medical Center | Rehabilitation Unit | 215 Ice Ave, 100, Dayton, OH 45402 | 2015-11-20 |
1205206935 | Womack Army Medical Center | Clinic/Center | 3908 Longstreet, Bldg 3-4303, Fort Bragg, NC 28310-0001 | 2015-10-07 |
1932577368 | Womack Army Medical Center | Military/U.S. Coast Guard Pharmacy | 55 Centennial Pkwy, Cameron, NC 28326-4013 | 2015-09-02 |
1578951042 | Womack Army Medical Center | Clinic/Center | 55 Centennial Parkway, Cameron, NC 28326 | 2015-01-06 |
1801215660 | Womack Army Medical Center | Clinic/Center | 2857 Watson St, Bldg M-1704, Fort Bragg, NC 28310-0001 | 2014-04-09 |
1710306576 | Womack Army Medical Center | Clinic/Center | Tagaytay Rd Bldg C-1624, Fort Bragg, NC 28310-7301 | 2014-04-09 |
1508285362 | Womack Army Medical Center | Clinic/Center | Kendenburg St Bldg H-6338, Fort Bragg, NC 28310-0001 | 2014-04-09 |
Street Address |
2356 SOUTH PEAK DRIVE |
City | HOPE MILLS |
State | NC |
Zip Code | 28348 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508163098 | Womack Army Medical Center | Military/U.S. Coast Guard Pharmacy | 2356 South Peak Drive, Hope Mills, NC 28348 | 2011-02-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982174553 | Prime Healthcare Services | Home Health | 2336 John Mcmillan Rd, Hope Mills, NC 28348 | 2018-11-27 |
1033690110 | Nanette Strang | Counselor | 5209 Cypress Glen Road, Hope Mills, NC 28348 | 2018-08-27 |
1356828438 | Sandra Hunt Norton | Counselor | 7134 Eagle Spring Dr, Hope Mills, NC 28348 | 2018-07-23 |
1831695261 | Helping Hands Home Adult Daycare | In Home Supportive Care | 6128 Arabello Road, Hope Mills, NC 28348 | 2018-04-04 |
1558879494 | C & J Investments of Nc | Pharmacy | 3018 North Main Street, Hope Mills, NC 28348 | 2018-01-12 |
1851800122 | Stanley Reed Williams | Counselor | 3516 Crosswinds Drive, Hope Mills, NC 28348 | 2017-09-29 |
1588104228 | Erika Miller | Physical Therapy Assistant | 3264 Bluegrass Court, Hope Mills, NC 28348 | 2017-02-28 |
1083160709 | Malea Boggs | Behavioral Analyst | 4110 Noonday Court, Hope Mills, NC 28348 | 2016-09-01 |
1003289976 | Deneka Mcmillan | Specialist | 3441 North Main Street, Hopemills, NC 28348 | 2015-11-02 |
1023450764 | Haymount Institute for Psychological Services, Pllc | Counselor | 3507 Hill St, Hope Mills, NC 28348 | 2013-07-23 |
Find all providers in zip 28348 |
Taxonomy Code | 261QM1100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Military/U.S. Coast Guard Outpatient |
The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. |
Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: title modified, definition added; 7/1/2006 title modified, definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205206935 | Womack Army Medical Center | Clinic/Center | 3908 Longstreet, Bldg 3-4303, Fort Bragg, NC 28310-0001 | 2015-10-07 |
1235508557 | United States Navy | Clinic/Center | Psc Box 20098, Hq and Service Co, 1st Bn, 6th Marine Regt, 2d Mardiv, Camp Lejeune, NC 28542-0098 | 2015-09-16 |
1578951042 | Womack Army Medical Center | Clinic/Center | 55 Centennial Parkway, Cameron, NC 28326 | 2015-01-06 |
1801215660 | Womack Army Medical Center | Clinic/Center | 2857 Watson St, Bldg M-1704, Fort Bragg, NC 28310-0001 | 2014-04-09 |
1710306576 | Womack Army Medical Center | Clinic/Center | Tagaytay Rd Bldg C-1624, Fort Bragg, NC 28310-7301 | 2014-04-09 |
1508285362 | Womack Army Medical Center | Clinic/Center | Kendenburg St Bldg H-6338, Fort Bragg, NC 28310-0001 | 2014-04-09 |
1760795769 | Womack Army Medical Center | Clinic/Center | 2350 Bentridge Ln, Woodland Bldg, Fayetteville, NC 28304-0586 | 2010-07-19 |
1003051210 | Us Army | Clinic/Center | 5587 Lockridge Road, Fayetteville, NC 28311 | 2008-12-03 |
1942495270 | Branch Medical Clinic Camp Geiger Mcb | Clinic/Center | 100 Brewster Blvd - Code 08/zd, Camp Lejeune, NC 28547-2538 | 2007-09-10 |
1649476987 | Womack Army Medical Center | Clinic/Center | 4-1838 Normandy Dr, Fort Bragg, NC 28310-0001 | 2007-06-25 |
Find all providers with the same taxonomy |
City | HOPE MILLS |
Zip Code | 28348 |
Please comment or provide details below to improve the information on WOMACK ARMY MEDICAL CENTER.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.