AHC MONCRIEF-JACKSON NPI 1386652956

NPI Information

NPI: 1386652956
Provider Name: AHC MONCRIEF-JACKSON
Classification: Military Hospital - 2865M2000X
Specialization: Military General Acute Care Hospital
Entity Type: Organization
:
Address: 4500 STUART ST
FORT JACKSON, SC
ZIP 29207
Phone: (803) 751-2160

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NPI Details

AHC MONCRIEF-JACKSON is a military general acute care hospital military hospital in Fort Jackson, SC. The provider is a Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in fixed facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A fixed facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as pass-through items. AHC MONCRIEF-JACKSON NPI is 1386652956. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

4500 STUART ST
FORT JACKSON, SC
ZIP 29207-720
Phone: (803) 751-2160

The provider's authorized official is Mariye Mccray .
The authorized official title is Ubo Manager and has the following contact phone number (803) 751-0472.

The enumeration date for this NPI number is 8/3/2006 and was last updated on 5/22/2025.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	261QM1100X	Clinic/Center	Military/U.S. Coast Guard Outpatient	SOUTH CAROLINA	No
2	261QM1101X	Clinic/Center	Military and U.S. Coast Guard Ambulatory Procedure	SOUTH CAROLINA	No
3	2865M2000X	Military Hospital	Military General Acute Care Hospital	SOUTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	42-22802	OTHER		NCPDP
2	AN2598588	OTHER		MEDCO ID

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: 11/21/2025

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