Ach Moncrief-Jackson

LBN: Moncrief Army Community Hospital
Ach Moncrief-Jackson is an health care organization with primary practice located at 4500 Stuart St , Fort Jackson SC 29207-5720. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Military/U.S. Coast Guard Outpatient, Ambulatory Health Care Facilities / Military and U.S. Coast Guard Ambulatory Procedure, Hospitals / Military General Acute Care Hospital. Hospitals / Military General Acute Care Hospital is the primary health care specialty. Moncrief Army Community Hospital can be contacted via phone (803) 751-2160, or through Warren, Willie via phone (803) 751-0472.

Contact Information

Primary practice address
4500 Stuart St Fort Jackson SC 29207-5720
Phone: (803) 751-2160
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Warren, Willie
Phone: (803) 751-0472

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Military/U.S. Coast Guard Outpatient 261QM1100X South Carolina
Ambulatory Health Care Facilities / Military and U.S. Coast Guard Ambulatory Procedure 261QM1101X South Carolina
Hospitals / Military General Acute Care Hospital 2865M2000X South Carolina

Profile Details

NPI number 1386652956
LBN Legal business name Moncrief Army Community Hospital
DBA Doing business as Ach Moncrief-Jackson
Authorized official Warren, Willie
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2006
Last updated Apr 8th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386652956 NPPES
Other 42-22802 NCPDP
Other AN2598588 NCPDP

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