USADC FT. BRAGG WAMC
NPI 1609071711
Clinic/Center - Military/U.S. Coast Guard Outpatient in Fort Bragg, NC
NPI Status: Active since June 19, 2007
Contact Information
2817 REILLY RD
USADC
FORT BRAGG, NC
ZIP 28310
Phone: (910) 907-6974
- Organization
- Clinic/Center
- Military/U.S. Coast Guard Outpatient
About USADC FT. BRAGG WAMC
This page provides the complete NPI Profile along with additional information for Usadc Ft. Bragg Wamc, a provider established in Fort Bragg, North Carolina operating as a Clinic/center, focusing in military/u.s. coast guard outpatient . The healthcare provider is registered in the NPI registry with number 1609071711 assigned on June 2007. The practitioner's primary taxonomy code is 261QM1100X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Usadc Ft. Bragg Wamc. The authorized official of this NPI record is Barbara Black (Ubo Manager)
- NPI
- 1609071711
- Provider Legal Name
- WOMACK ARMY MEDICAL CENTER
- Other Organization Name
- USADC FT. BRAGG WAMC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2817 REILLY RD USADC FORT BRAGG, NC 28310
- Location Phone
- (910) 907-6974
- Mailing Address
- 2817 REILLY ST MCXC-DBO-UB WAMC STOP A FORT BRAGG, NC 28310
- Mailing Phone
- (910) 907-6693
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-19-2007
- Last Update Date
- 02-11-2013
- Code Navigator
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
Clinic/Center Military/U.S. Coast Guard Outpatient
- Taxonomy Code
- 261QM1100X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- 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.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 6 | 0 | 9 | 0 | 7 | 1 | 7 | 1 | 1 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 0 | 9 | 0 | 7 | 2 | 7 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 0 + 9 + 0 + 7 + 2 + 7 + 2 + 24 = 59 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 59 = 1 | 1 |
The NPI number 1609071711 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. COLIN M GREENE MD
Family Medicine
2817 REILLY RD
WAMC ATTN: DCCS
FORT BRAGG, NC
ZIP 28310
KAREN ANN-MARIE WESLEY RD, LDN
Dietitian, Registered
2817 REILLY RD
WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC
ZIP 28310
MR. MICHAEL JEROME KAPP CRNA
Nurse Anesthetist, Certified Registered
2817 REILLY RD
FORT BRAGG, NC
ZIP 28310
DR. CAROLYN HARRISON SMOAK PD
Pharmacist
2817 REILLY RD
MCXC PH PHARMACY
FORT BRAGG, NC
ZIP 28310
DR. DEREK CULHANE UNDERHILL PHARM.D., M.B.A.
Pharmacist
2817 REILLY RD
FORT BRAGG, NC
ZIP 28310
CRAIG MILTON JENKINS PHD
Psychologist
2817 REILLY RD
WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC
ZIP 28310
GERALD DOUGLAS DEPOLD
Physician Assistant
(Medical)
2817 REILLY RD
WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC
ZIP 28310
MRS. LARHONDA LOLEANETRA HARRIS LCSW
Social Worker
(Clinical)
2817 REILLY RD
MCXC-DPC-MHO
FORT BRAGG, NC
ZIP 28310
MRS. LORI ANN PASSMORE MS, LMHC, NCC
Counselor
(Mental Health)
2817 REILLY RD
WOMACK ARMY MEDICAL CENTER, MCXC-COD CREDENTIALS
FORT BRAGG, NC
ZIP 28310
DR. RONNIE SCOTT HOLUBY PHARM.D.
Pharmacist
(Pharmacotherapy)
2817 REILLY RD
WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC
ZIP 28310
DR. MARJORY ELAINE CANNON M.D.
Family Medicine
2817 REILLY RD
WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC
ZIP 28310
DR. VICKI M. LANIER M.D.
Neuromusculoskeletal Medicine, Sports Medicine
2817 REILLY RD
FORT BRAGG, NC
ZIP 28310
DR. JANE W. TRAMPUS MSSW,LCSW,EDD
Social Worker
(Clinical)
2817 REILLY RD
WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC
ZIP 28310
JOHN STANLEY BARNETT PA-C
Physician Assistant
2817 REILLY RD
CLARK HEALTH CLINIC
FORT BRAGG, NC
ZIP 28310
MR. PAUL BRIAN SIMCOX PHYSICIAN ASSISTANT
Physician Assistant
2817 REILLY RD
FORT BRAGG, NC
ZIP 28310
JAMES ANTHONY PASCALE M.D.
Pediatrics
(Neonatal-Perinatal Medicine)
2817 REILLY RD
FORT BRAGG, NC
ZIP 28310
DR. CHAD DAVID LISTROM M.D.
Emergency Medicine
2817 REILLY RD
WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC
ZIP 28310
MR. GREGORY VINCENT LATON PA-C
Physician Assistant
2817 REILLY RD
WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC
ZIP 28310
DR. MARY ELIZABETH GABRIEL MD
Preventive Medicine
(Aerospace Medicine)
2817 REILLY RD
WOMACK ARMY MEDICAL CENTER DOOH PES MEB
FT BRAGG, NC
ZIP 28310
HENRY MATTHEW DEITERS PT
Physical Therapist
2817 REILLY RD
WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC
ZIP 28310
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609071711, enumerated as an "organization" on June 19, 2007.
The provider is located at 2817 REILLY RD USADC FORT BRAGG, NC 28310 and the phone number is (910) 907-6974.
Clinic/Center with taxonomy code 261QM1100X and a focus in Military/U.S. Coast Guard Outpatient.