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MONCRIEF ARMY HOSPITAL
NPI 1114391802
Military Hospital in Columbia, SC

Active since November 19, 2015
4500 STUART ST, COLUMBIA, SC 29207(803) 751-2253 Get Directions Write a Review

NPPES record last updated: November 19, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Military Hospital

About MONCRIEF ARMY HOSPITAL

This page provides the complete NPI Profile along with additional information for Moncrief Army Hospital, a provider established in Columbia, South Carolina operating as a Military Hospital. The healthcare provider is registered in the NPI registry with number 1114391802 assigned on November 2015. The practitioner's primary taxonomy code is 286500000X with license number 7985 (SC). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mrs. Latoya M Wanser (Credentials Manager)

NPI
1114391802 Verify this NPI
Provider Name
MONCRIEF ARMY HOSPITAL
Entity Type
Organization
Location Address
4500 STUART ST COLUMBIA, SC 29207
Location Phone
(803) 751-2253
Mailing Address
4500 STUART ST COLUMBIA, SC 29207
Mailing Phone
(803) 751-2253
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-19-2015
Last Update Date
11-19-2015
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Military Hospital

Taxonomy Code
286500000X
Type
Hospitals
License No.
7985
License State
SC
Taxonomy Description
A health care facility operated by the Department of Defense.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. LATOYA M WANSER

Authorized Official Title
CREDENTIALS MANAGER
Authorized Official Phone
(803) 751-5688

Reviews for MONCRIEF ARMY HOSPITAL

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

MRS. REBECCA LEA BLANKENSHIP NP
Nurse Practitioner (Family)
4500 STUART ST
COLUMBIA, SC 29207
Richland County (803) 751-6549
MR. EUGENE PATRICK KISTLER PA-C
Physician Assistant (Medical)
4500 STUART ST, MONCRIEF ARMY COMMUNITY HOSPITAL
COLUMBIA, SC 29207
Richland County (803) 751-2618
DORIANNE CELINE MAY CRNA
Nurse Anesthetist, Certified Registered
4500 STUART ST, MONCRIEF ARMY COMMUNITY HOSPITAL ATTN MCXL-PQ
COLUMBIA, SC 29207
Richland County (803) 751-2689
GARY STUART YON P.A.-C
Physician Assistant
4500 STUART ST, MONCRIEF ARMY HOSPITAL/ CREDENTIALS
COLUMBIA, SC 29207
Richland County (803) 751-2618
MRS. YVONNE CHRISTINE YON P.A.-C
Physician Assistant
4500 STUART ST, MONCRIEF ARMY COMMUNITY HOSPITAL/CREDENTIALS
COLUMBIA, SC 29207
Richland County (803) 751-6218
MR. DON ALLYN RAY RPH
Pharmacist
4500 STUART ST, MONCRIEF ARMY COMMUNITY HOSPITAL
COLUMBIA, SC 29207
Richland County (803) 751-2385
DR. ASMIKA DOLATRAI NAIK
General Practice
4500 STUART ST, MACH,CREDENTIALS
COLUMBIA, SC 29207
Richland County (803) 751-2618
MR. VIRGIL B LEE JR. R.PH.
Pharmacist
4500 STUART ST, ATTN: MCXL-PQ (CREDENTIALS)
COLUMBIA, SC 29207
Richland County (803) 751-2618
DR. DAVE ARNOT O.D.
Optometrist
4500 STUART ST
COLUMBIA, SC 29207
Richland County (803) 751-5406
MR. DALLAS N EDWARDS JR. RPH
Pharmacist
4500 STUART ST, ATTN: MCXL-PQ (CREDENTIALS)
COLUMBIA, SC 29207
Richland County (803) 751-2618
MRS. MARILYN JANE ANDERSON MSW
Social Worker (Clinical)
4500 STUART ST, MONCRIEF ARMY COMMUNITY HOSPITAL
COLUMBIA, SC 29207
Richland County (803) 751-2618
MS. LINDA SUE KEISLER RPH
Pharmacist
4500 STUART ST, MONCRIEF ARMY COMMUNITY HOSPITAL/CREDENTIALS
COLUMBIA, SC 29207
Richland County (803) 751-2259
DR. CHARLES PEQUETTE HAMILTON MD
Family Medicine
4500 STUART ST, MONTCRIEF ARMY HOSPITAL ATTN: MCXL-PQ (CREDENTIALS)
COLUMBIA, SC 29207
Richland County (803) 751-2618
DR. JULIANA INFANTE GALANG MD
Military Health Care Provider
4500 STUART ST, MONCRIEF ARMY COMMUNITY HOSPITAL ATT: MCXL-PQ
COLUMBIA, SC 29207
Richland County (803) 751-2618
MS. GLORIA VON ROSSUM LIGHT RN, CPNP
Nurse Practitioner (Pediatrics)
4500 STUART ST, MONCRIEF ARMY HOSPITAL, ATTN: MCXL-PQ (CREDENTIALS)
COLUMBIA, SC 29207
Richland County (803) 751-2689
DR. DANIEL R DAVIDSON MD
Family Medicine
4500 STUART ST, MONCRIEF ARMY COMMUNITY HOSPITAL / CREDENTIALS
COLUMBIA, SC 29207
Richland County (803) 751-2618
PAMELA TUCKER ARNP
Nurse Practitioner (Family)
4500 STUART ST, MONCRIEF ARMY COMMUNITY HOSPITAL, ATTN: MCXL-PQ
COLUMBIA, SC 29207
Richland County (803) 751-2618
PAMELA INTINTOLA M.D.
Family Medicine
4500 STUART ST, MONCRIEF ARMY HOSPITAL; ATTN: MCXL-PQ( CREDENTIALS)
COLUMBIA, SC 29207
Richland County (803) 751-2618
MS. MARGARET ANN KINNEY PA-C
Physician Assistant (Medical)
4500 STUART ST, MONCRIEF ARMY HOSPITAL ATTN: MCXL-PQ(CREDENTIALS)
COLUMBIA, SC 29207
Richland County (803) 751-2618
RENITA CONSTANCE GRAHAM RD
Dietitian, Registered
4500 STUART ST, MONCRIEF ARMY COMMUNITY HOSPTIAL, ATTN: MCXL-PQ
FORT JACKSON, SC 29207
Richland County (803) 751-2618

Frequently Asked Questions

What is MONCRIEF ARMY HOSPITAL's NPI number?

The NPI number assigned to this healthcare provider is 1114391802, enumerated as an "organization" on November 19, 2015.

Where is the provider located?

The provider is located at 4500 STUART ST COLUMBIA, SC 29207 and the phone number is (803) 751-2253.

What is the provider's specialty?

Military Hospital with taxonomy code 286500000X.