USADC MONCRIEF ACH-JACKSON
NPI 1942406764
Clinic/Center - Military/U.S. Coast Guard Outpatient in Columbia, SC
- Organization
- Clinic/Center
- Military/U.S. Coast Guard Outpatient
About USADC MONCRIEF ACH-JACKSON
This page provides the complete NPI Profile along with additional information for Usadc Moncrief Ach-jackson, a provider established in Columbia, South 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 1942406764 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 11 years ago. The provider's is doing business as Usadc Moncrief Ach-jackson. The authorized official of this NPI record is Willie Warren (Chief, Ubo)
- NPI
- 1942406764 Verify this NPI
- Provider Legal Name
- MONCRIEF ARMY COMMUNITY HOSPITAL
- Other Organization Name
- USADC MONCRIEF ACH-JACKSON
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4500 STUART ST US ARMY DENTAL CLINIC COLUMBIA, SC 29207
- Location Phone
- (803) 751-2241
- Mailing Address
- 4500 STUART ST BOX 497 FORT JACKSON, SC 29207
- Mailing Phone
- (803) 751-0472
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-27-2007
- Last Update Date
- 04-08-2015
- 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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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
COLUMBIA, SC 29207
COLUMBIA, SC 29207
COLUMBIA, SC 29207
COLUMBIA, SC 29207
COLUMBIA, SC 29207
COLUMBIA, SC 29207
COLUMBIA, SC 29207
COLUMBIA, SC 29207
COLUMBIA, SC 29207
COLUMBIA, SC 29207
COLUMBIA, SC 29207
COLUMBIA, SC 29207
COLUMBIA, SC 29207
COLUMBIA, SC 29207
FORT JACKSON, SC 29207
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942406764, enumerated as an "organization" on June 27, 2007.
The provider is located at 4500 STUART ST US ARMY DENTAL CLINIC COLUMBIA, SC 29207 and the phone number is (803) 751-2241.
Clinic/Center with taxonomy code 261QM1100X and a focus in Military/U.S. Coast Guard Outpatient.
