CLARK CLINIC
NPI 1295941664
Clinic/Center - Military/U.S. Coast Guard Outpatient in Fort Bragg, NC

Active since May 15, 2007
44 BASTOGNE DR, FORT BRAGG, NC 28310(910) 907-9262 Get Directions Write a Review

NPPES record last updated: February 11, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Clark Clinic NPPES

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

CLARK CLINIC (NPI 1295941664) is a healthcare organization registered as a military/u.s. coast guard outpatient in Fort Bragg, North Carolina and active in the NPI registry since May 2007. The organization lists Barbara Black, Ubo Manager, as its authorized official.

NPPES Registry Identity

NPI1295941664
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business NameWOMACK ARMY MEDICAL CENTER
Location Address44 BASTOGNE DRFort Bragg, NC 28310-0001
Mailing Address2817 Reilly St, Mcxc-dbo-ub Wamc Stop AFort Bragg, NC 28310-7324 · (910) 907-6693
Organization SubpartYes
Authorized OfficialBarbara BlackUbo Manager · (910) 907-8537
Enumeration DateMay 15, 2007
Last NPPES UpdateFebruary 11, 2013
NPI 1295941664 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.

44 BASTOGNE DR, Fort Bragg, NC 28310

Other Names 1

Doing Business AsClark Clinic

Other Identifiers 6

Other00539Bcbs Ub-04 Provider Id
Other1740377423Parent Facility Npi
Medicare UPINOTH000
Other0465YBcbs Pharmacy Id
Other0294ABcbs Cms 1500 Provider Id
Medicare UPINVAD000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295941664, enumerated as an "organization" on May 15, 2007.

The provider is located at 44 BASTOGNE DR FORT BRAGG, NC 28310 and the phone number is (910) 907-9262.

Clinic/Center with taxonomy code 261QM1100X and a focus in Military/U.S. Coast Guard Outpatient.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.