AHC MONCRIEF-JACKSON
NPI 1386652956
Military Hospital - Military General Acute Care Hospital in Fort Jackson, SC

Active since August 03, 2006
4500 STUART ST, FORT JACKSON, SC 29207(803) 751-2160 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Military Hospital
  • Military General Acute Care Hospital

About AHC MONCRIEF-JACKSON

This page provides the complete NPI Profile along with additional information for Ahc Moncrief-jackson, a provider established in Fort Jackson, South Carolina operating as a Military Hospital, focusing in military general acute care hospital . The healthcare provider is registered in the NPI registry with number 1386652956 assigned on August 2006. The practitioner's primary taxonomy code is 2865M2000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mariye Mccray (Ubo Manager)

NPI
1386652956 Verify this NPI
Provider Name
AHC MONCRIEF-JACKSON
Other Name Type
(6)
Entity Type
Organization
Location Address
4500 STUART ST FORT JACKSON, SC 29207
Location Phone
(803) 751-2160
Mailing Address
4500 STUART ST BOX 497 FORT JACKSON, SC 29207
Mailing Phone
(803) 751-0472
Mailing Fax
(803) 751-0415
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-03-2006
Last Update Date
05-22-2025
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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 Military General Acute Care Hospital

Taxonomy Code
2865M2000X
Type
Hospitals
License State
SC
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM1100XAmbulatory Health Care Facilities

Clinic/Center
Military/U.S. Coast Guard Outpatient

(SC)
2261QM1101XAmbulatory Health Care Facilities

Clinic/Center
Military and U.S. Coast Guard Ambulatory Procedure

(SC)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MARIYE MCCRAY

Authorized Official Title
UBO MANAGER
Authorized Official Phone
(803) 751-0472

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
42-22802OTHER (01)NCPDP
AN2598588OTHER (01)MEDCO ID

Reviews for AHC MONCRIEF-JACKSON

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Other Providers at the Same Location


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

Nurse Practitioner (Family)
4500 STUART ST
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
Physician Assistant
4500 STUART ST, MONCRIEF ARMY COMMUNITY HOSPITAL/CREDENTIALS
COLUMBIA, SC 29207
Pharmacist
4500 STUART ST, MONCRIEF ARMY COMMUNITY HOSPITAL
COLUMBIA, SC 29207
General Practice
4500 STUART ST, MACH,CREDENTIALS
COLUMBIA, SC 29207
Pharmacist
4500 STUART ST, ATTN: MCXL-PQ (CREDENTIALS)
COLUMBIA, SC 29207
Optometrist
4500 STUART ST
COLUMBIA, SC 29207
Pharmacist
4500 STUART ST, ATTN: MCXL-PQ (CREDENTIALS)
COLUMBIA, SC 29207
Social Worker (Clinical)
4500 STUART ST, MONCRIEF ARMY COMMUNITY HOSPITAL
COLUMBIA, SC 29207
Pharmacist
4500 STUART ST, MONCRIEF ARMY COMMUNITY HOSPITAL/CREDENTIALS
COLUMBIA, SC 29207
Family Medicine
4500 STUART ST, MONTCRIEF ARMY HOSPITAL ATTN: MCXL-PQ (CREDENTIALS)
COLUMBIA, SC 29207
Military Health Care Provider
4500 STUART ST, MONCRIEF ARMY COMMUNITY HOSPITAL ATT: MCXL-PQ
COLUMBIA, SC 29207
Nurse Practitioner (Pediatrics)
4500 STUART ST, MONCRIEF ARMY HOSPITAL, ATTN: MCXL-PQ (CREDENTIALS)
COLUMBIA, SC 29207
Family Medicine
4500 STUART ST, MONCRIEF ARMY COMMUNITY HOSPITAL / CREDENTIALS
COLUMBIA, SC 29207
Nurse Practitioner (Family)
4500 STUART ST, MONCRIEF ARMY COMMUNITY HOSPITAL, ATTN: MCXL-PQ
COLUMBIA, SC 29207
Family Medicine
4500 STUART ST, MONCRIEF ARMY HOSPITAL; ATTN: MCXL-PQ( CREDENTIALS)
COLUMBIA, SC 29207
Physician Assistant (Medical)
4500 STUART ST, MONCRIEF ARMY HOSPITAL ATTN: MCXL-PQ(CREDENTIALS)
COLUMBIA, SC 29207
Dietitian, Registered
4500 STUART ST, MONCRIEF ARMY COMMUNITY HOSPTIAL, ATTN: MCXL-PQ
FORT JACKSON, SC 29207
Physical Therapist
4500 STUART ST, MONCRIEF ARMY COMMUNITY HOSPITAL / CREDENTIALS
COLUMBIA, SC 29207

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386652956, enumerated as an "organization" on August 03, 2006.

The provider is located at 4500 STUART ST FORT JACKSON, SC 29207 and the phone number is (803) 751-2160.

Military Hospital with taxonomy code 2865M2000X and a focus in Military General Acute Care Hospital.

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