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

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  • 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
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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.

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

BARBARA BLACK

Authorized Official Title
UBO MANAGER
Authorized Official Phone
(910) 907-8537

Reviews for USADC FT. BRAGG WAMC

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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.
1609071711
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
260907272
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 = 11

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

(910) 907-6498

KAREN ANN-MARIE WESLEY RD, LDN

Dietitian, Registered

2817 REILLY RD
WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC
ZIP 28310

(910) 907-8922

MR. MICHAEL JEROME KAPP CRNA

Nurse Anesthetist, Certified Registered

2817 REILLY RD
FORT BRAGG, NC
ZIP 28310

(910) 907-8922

DR. CAROLYN HARRISON SMOAK PD

Pharmacist

2817 REILLY RD
MCXC PH PHARMACY
FORT BRAGG, NC
ZIP 28310

(910) 907-7931

DR. DEREK CULHANE UNDERHILL PHARM.D., M.B.A.

Pharmacist

2817 REILLY RD
FORT BRAGG, NC
ZIP 28310

(910) 907-7061

CRAIG MILTON JENKINS PHD

Psychologist

2817 REILLY RD
WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC
ZIP 28310

(910) 907-8922

GERALD DOUGLAS DEPOLD

Physician Assistant

(Medical)

2817 REILLY RD
WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC
ZIP 28310

(910) 907-8922

MRS. LARHONDA LOLEANETRA HARRIS LCSW

Social Worker

(Clinical)

2817 REILLY RD
MCXC-DPC-MHO
FORT BRAGG, NC
ZIP 28310

(910) 907-7713

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

(910) 907-8922

DR. RONNIE SCOTT HOLUBY PHARM.D.

Pharmacist

(Pharmacotherapy)

2817 REILLY RD
WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC
ZIP 28310

(910) 907-8922

DR. MARJORY ELAINE CANNON M.D.

Family Medicine

2817 REILLY RD
WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC
ZIP 28310

(910) 907-6589

DR. VICKI M. LANIER M.D.

Neuromusculoskeletal Medicine, Sports Medicine

2817 REILLY RD
FORT BRAGG, NC
ZIP 28310

(910) 907-8922

DR. JANE W. TRAMPUS MSSW,LCSW,EDD

Social Worker

(Clinical)

2817 REILLY RD
WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC
ZIP 28310

(910) 907-9645

JOHN STANLEY BARNETT PA-C

Physician Assistant

2817 REILLY RD
CLARK HEALTH CLINIC
FORT BRAGG, NC
ZIP 28310

(910) 907-8922

MR. PAUL BRIAN SIMCOX PHYSICIAN ASSISTANT

Physician Assistant

2817 REILLY RD
FORT BRAGG, NC
ZIP 28310

(910) 907-6576

JAMES ANTHONY PASCALE M.D.

Pediatrics

(Neonatal-Perinatal Medicine)

2817 REILLY RD
FORT BRAGG, NC
ZIP 28310

(910) 907-7626

DR. CHAD DAVID LISTROM M.D.

Emergency Medicine

2817 REILLY RD
WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC
ZIP 28310

(910) 907-8922

MR. GREGORY VINCENT LATON PA-C

Physician Assistant

2817 REILLY RD
WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC
ZIP 28310

(910) 907-8922

DR. MARY ELIZABETH GABRIEL MD

Preventive Medicine

(Aerospace Medicine)

2817 REILLY RD
WOMACK ARMY MEDICAL CENTER DOOH PES MEB
FT BRAGG, NC
ZIP 28310

(910) 907-9891

HENRY MATTHEW DEITERS PT

Physical Therapist

2817 REILLY RD
WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC
ZIP 28310

(910) 907-7538

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.