WOMACK ARMY MEDICAL CENTER


Address: 4861 Logistic Ave, Fort Bragg, NC 28310-0001
Phone: 9109079068

WOMACK ARMY MEDICAL CENTER (NPI# 1427253541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427253541
Entity Type Organization
Organization Name WOMACK ARMY MEDICAL CENTER
Other Organization Name USADC FT. BRAGG JOEL
Practice Address 4861 Logistic Ave
Fort Bragg
NC 28310-0001
Mailing Address 2817 Reilly St
Mcxc-dbo-ub Wamc Stop A
Fort Bragg
NC 28310-7324
Practice Telephone 9109079068
Mailing Telephone 9109076693
Enumeration Date 2007-06-19
Last Update Date 2013-02-11
Authorized Official Name BARBARA BLACK (UBO MANAGER)
Authorized Official Telephone 9109078537
Is Organization Subpart Y
Parent Organization Name WOMACK ARMY MEDICAL CENTER

Taxonomy

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

Other Provider/Organization Names

Other Name Type Code
USADC FT. BRAGG JOEL Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 4861 LOGISTIC AVE
City FORT BRAGG
State NC
Zip Code 28310-0001

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013550763 Brent Francis Bachman Physician Assistant 2817 Reilly Street, Fort Bragg, NC 28310 2019-10-25
1417503459 Cooper Pasque Dentist 1838 Normandy Dr., Fort Bragg, Apo, AA 28310 2019-08-15
1851959951 Daniel Jordan Whitaker Student in an Organized Health Care Education/Training Program Womack Army Medical Center, 2817 Reilly Road, Mcxc-cod Credentials, Fort Bragg, NC 28310 2019-06-03
1679054217 Christopher Cetnar Dentist Smokebomb Hill, Bldg 3718 Gruber Road, Fort Bragg, NC 28310 2018-08-22
1316427107 Alexandrea Lee Clark Dentist Laflamme Dental Clinic, Bldg C6238 Ardennes Road, Fort Bragg, NC 28310 2018-08-21
1457843831 Kevin Patrick Hudson Student in an Organized Health Care Education/Training Program 2817 Reilly Road Mxcx - Cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 2018-06-01
1639691462 Margaret S Greene Dentist Usa Dental Health Activity Fort Bragg, Wamc Box #151 2817 Rielly Rd, Fort Bragg, NC 28310 2017-07-13
1912432246 Chezdan Baker Student in an Organized Health Care Education/Training Program Us Army Dental Health Activity Bldg-6837 Normandy Drive, Fort Bragg, NC 28310 2017-04-24
1215483094 Shantryce Monique Boatwright Crump Dental Hygienist 2617 Rielly Road, Fort Bragg, NC 28310 2016-08-31
1629435714 John Gagnier Physician Assistant Gruber Road, Building #c-1722, Fort Bragg, NC 28310 2016-01-21
Find all providers in zip 28310

Taxonomy Information

Taxonomy Code 261QM1100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Military/U.S. Coast Guard Outpatient

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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
1649476987 Womack Army Medical Center Clinic/Center 4-1838 Normandy Dr, Fort Bragg, NC 28310-0001 2007-06-25
1447455936 Womack Army Medical Center Clinic/Center 3718 Gruber Rd, Fort Bragg, NC 28310-8934 2007-06-15
1194920678 Womack Army Medical Center Clinic/Center 3836 Ardennes St, Fort Bragg, NC 28310-8922 2007-06-15
1306041884 Womack Army Medical Center Clinic/Center 6238 Ardennes Rd, Fort Bragg, NC 28310-0001 2007-06-15
1295941664 Womack Army Medical Center Clinic/Center 44 Bastogne Dr, Fort Bragg, NC 28310-0001 2007-05-15
1891909321 Womack Army Medical Center Clinic/Center 1100 Gruber Rd, Building C-1722, Fort Bragg, NC 28310-0001 2007-05-10
Find all providers in FORT BRAGG

Competitor

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City FORT BRAGG
Zip Code 28310

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Dataset Information

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.

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