WOMACK ARMY MEDICAL CENTER (NPI# 1619046695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619046695 |
| Entity Type | Organization |
| Organization Name | WOMACK ARMY MEDICAL CENTER |
| Practice Address |
2817 Reilly Road Mcxc-cod Credentials Womack Army Medical Center Fort Bragg NC 28310-0001 |
| Practice Telephone | 9109078922 |
| Practice Fax Number | 9109076069 |
| Mailing Telephone | 9109078922 |
| Mailing Fax Number | 9109076069 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHRISTOPHER SEAN VANWINKLE (PA) |
| Authorized Official Telephone | 9109078922 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| 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 |
2817 REILLY ROAD MCXC-COD CREDENTIALS WOMACK ARMY MEDICAL CENTER |
| City | FORT BRAGG |
| State | NC |
| Zip Code | 28310-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437129616 | Lisa W Farmer | Pharmacist | 2817 Reilly Road Mcxc-cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2006-01-23 |
| 1912358433 | Briana Lindberg | Family Medicine | 2817 Reilly Road Mcxc-cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2016-06-27 |
| 1609282250 | Jason H Hyde | Student in an Organized Health Care Education/Training Program | 2817 Reilly Road Mcxc-cod Credentials, Fort Bragg, NC 28310 | 2014-07-03 |
| 1578802427 | Michelle Countouriotis | Nurse Anesthetist, Certified Registered | 2817 Reilly Road Mcxc-cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310-7324 | 2013-02-12 |
| 1497038095 | Jared M. Cox | Psychologist | 2817 Reilly Road Mcxc-cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2011-09-21 |
| 1639466873 | Blake Ron Busey | Family Medicine | 2817 Reilly Road Mcxc-cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310-7324 | 2011-07-08 |
| 1033405147 | Jennifer Mary Williams | Acupuncturist | 2817 Reilly Road Mcxc-cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2011-06-27 |
| 1588967889 | Steven Lawrence Plaxco Jr. | Optometrist | 2817 Reilly Road Mcxc-cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2010-12-09 |
| 1831400845 | Keisha Dixon | Physician Assistant | 2817 Reilly Road Mcxc-cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2010-06-24 |
| 1952534786 | Mark Charles Alonzo | Physician Assistant | 2817 Reilly Road Mcxc-cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2009-08-27 |
| Find all providers in the same location | ||||
| 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 Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538113725 | Mendocino Coast Health Care District | General Acute Care Hospital | 700 River Dr, Fort Bragg, CA 95437-5403 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568647857 | Hidetaka Yanagi | General Acute Care Hospital | Section On Infectious Disease Wake Forest Univ Sm, 1 Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2008-01-04 |
| 1992838593 | Alleghany Memorial Hospital | General Acute Care Hospital | 233 Doctors Street, Sparta, NC 28675-9247 | 2007-03-13 |
| 1831241132 | Highlands-cashiers Hospital | General Acute Care Hospital | Hospital Dr Hwy 64 East, Highlands, NC 28741-0190 | 2007-01-17 |
| 1598795502 | Bladen County Hospital | General Acute Care Hospital | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2006-07-04 |
| 1346205978 | Pungo District Hospital Corporation | General Acute Care Hospital | 202 E Water St, Belhaven, NC 27810-1450 | 2006-04-18 |
| 1316908858 | Yancey Community Medical Services, Inc. | General Acute Care Hospital | 320 Pensacola Rd, Burnsville, NC 28714-3318 | 2006-03-31 |
| 1356318968 | Alleghany Memorial Hospital | General Acute Care Hospital | 233 Doctors St, Sparta, NC 28675-9247 | 2006-03-02 |
| 1013999705 | East Carolina Health-bertie | General Acute Care Hospital | 1403 S King St, Windsor, NC 27983-9666 | 2005-11-17 |
| 1124018494 | Cah Acquisition Company 1 LLC | General Acute Care Hospital | 958 Us Highway 64 E, Plymouth, NC 27962 | 2005-10-26 |
| 1093712655 | Chatham Hospital Inc | General Acute Care Hospital | 475 Progress Blvd., Siler City, NC 27344 | 2005-06-28 |
| Find all providers with the same taxonomy | ||||
| City | FORT BRAGG |
| Zip Code | 28310 |
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.