AMC WOMACK-FT BRAGG NPI 1740377423

NPI Information

NPI: 1740377423
Provider Name: AMC WOMACK-FT BRAGG
Classification: Military Hospital - 2865M2000X
Specialization: Military General Acute Care Hospital
Entity Type: Organization
:
Address: 2817 REILLY ST
FORT BRAGG, NC
ZIP 28310
Phone: (910) 907-9262

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NPI Details

AMC WOMACK-FT BRAGG is a military general acute care hospital military hospital in Fort Bragg, NC. 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. AMC WOMACK-FT BRAGG NPI is 1740377423. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

2817 REILLY ST
FORT BRAGG, NC
ZIP 28310-301
Phone: (910) 907-9262

The provider's authorized official is Marvin Primos .
The authorized official title is Ubo Manager and has the following contact phone number (910) 907-8440.

The enumeration date for this NPI number is 10/6/2006 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	Primary
1	261QM1100X	Clinic/Center	Military/U.S. Coast Guard Outpatient	No
2	261QM1101X	Clinic/Center	Military and U.S. Coast Guard Ambulatory Procedure	No
3	332000000X	Military/U.S. Coast Guard Pharmacy		No
4	341800000X	Military/U.S. Coast Guard Transport		No
5	2865M2000X	Military Hospital	Military General Acute Care Hospital	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 Issuer
1	0294A	OTHER	BCBS CMS 1500 PROVIDER ID
2	0465Y	OTHER	BCBS PHARMACY ID
3	00539	OTHER	BCBS UB-04 PROVIDER 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: 3/30/2025

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