TMC CON-1-2-4-JACKSON
NPI 1285840512
Clinic/Center - Military/U.S. Coast Guard Outpatient in Columbia, SC

Active since May 15, 2007
4500 STUART ST, BLDG 4575, COLUMBIA, SC 29207(803) 751-2310 Get Directions Write a Review

NPPES record last updated: April 8, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tmc Con-1-2-4-jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TMC CON-1-2-4-JACKSON (NPI 1285840512) is a healthcare organization registered as a military/u.s. coast guard outpatient in Columbia, South Carolina and active in the NPI registry since May 2007. The organization lists Willie Warren, Chief, Ubo, as its authorized official.

NPPES Registry Identity

NPI1285840512
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business NameMONCRIEF ARMY COMMUNITY HOSPITAL
Location Address4500 STUART ST, BLDG 4575Columbia, SC 29207-5700
Mailing Address4500 Stuart St, Box 497Fort Jackson, SC 29207-5720 · (803) 751-0472
Organization SubpartYes
Authorized OfficialWillie WarrenChief, Ubo · (803) 751-0472
Enumeration DateMay 15, 2007
Last NPPES UpdateApril 8, 2015
NPI 1285840512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Military/U.S. Coast Guard OutpatientAmbulatory Health Care Facilities
Taxonomy Code261QM1100X
Definition
The Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
4500 STUART ST, Columbia, SC 29207

Other Names 1

Doing Business AsTmc Con-1-2-4-jackson

Other Identifiers 2

Medicare UPINOTH000
Medicare UPINVAD000

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
4500 STUART ST, MONCRIEF ARMY COMMUNITY HOSPITAL / CREDENTIALS
COLUMBIA, SC 29207
Nurse Practitioner (Acute Care)
4500 STUART ST
COLUMBIA, SC 29207
Registered Nurse (Community Health)
4500 STUART ST, MONCRIEF ARMY COMMUNITY HOSPITAL/CREDENTIALS
COLUMBIA, SC 29207
Physician Assistant (Medical)
4500 STUART ST, MONCRIEF ARMY COMMUNITY HOSPITAL
COLUMBIA, SC 29207
Physician Assistant
4500 STUART ST, MONCRIEF ARMY HOSPITAL/ CREDENTIALS
COLUMBIA, SC 29207
Nurse Practitioner (Family)
4500 STUART ST
COLUMBIA, SC 29207
Military Hospital
4500 STUART ST
COLUMBIA, SC 29207
Ophthalmology
4500 STUART ST, MONCRIEF ARMY COMMUNITY HOSPITAL
COLUMBIA, SC 29207

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Moncrief Army Community Hospital's NPI number?

The NPI number for Moncrief Army Community Hospital is 1285840512. It was assigned to this organization in the NPPES registry on May 15, 2007. The provider is doing business as Tmc Con-1-2-4-Jackson.

Where is Moncrief Army Community Hospital located?

Moncrief Army Community Hospital is located at 4500 Stuart St Bldg 4575, Columbia, SC 29207. The listed phone number is (803) 751-2310.

What is Moncrief Army Community Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient, with taxonomy code 261QM1100X.

When was this NPI record last updated?

The NPPES record for Moncrief Army Community Hospital was last updated on April 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.