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MONCRIEF ARMY COMMUNITY HOSPITAL NPI 1194138859


NPI Information

NPI: 1194138859
Provider Name: MONCRIEF ARMY COMMUNITY HOSPITAL

Doing Business As: DOD FT JACKSON EPHCY

Classification: Military/U.S. Coast Guard Pharmacy - 332000000X
Entity Type: Organization
Address:
4500 STUART AVE
COLUMBIA, SC
ZIP 29207
Phone: (803) 419-3830
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MONCRIEF ARMY COMMUNITY HOSPITAL is a military us coast guard pharmacy in Columbia, SC. The provider is a Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services. MONCRIEF ARMY COMMUNITY HOSPITAL NPI is 1194138859. The provider is registered as an organization entity type.
The provider Is Doing Business As Dod Ft Jackson Ephcy.

The provider's business location address is:

4500 STUART AVE
COLUMBIA, SC
ZIP 29207-700
Phone: (803) 419-3830
Fax: (803) 419-3845

The provider's authorized official is Hector Morales .
The authorized official title is Chief Dha Pass and has the following contact phone number (210) 536-6650.

The enumeration date for this NPI number is 6/10/2014 and was last updated on 2/27/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332000000XMilitary/U.S. Coast Guard PharmacyYes
2333600000XPharmacyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12146206OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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