National Provider Identifier Database

AHC MONCRIEF JACKSON
Military General Acute Care Hospital

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.


Contact Information

AHC MONCRIEF-JACKSON
4500 STUART ST
FORT JACKSON, SC29207-5720
Phone: 803-751-2160
Fax:
Website:
Specialty Taxonomy Code
* Military General Acute Care Hospital 2865M2000X
Military and U.S. Coast Guard Ambulatory Procedure 261QM1101X
Military/U.S. Coast Guard Outpatient 261QM1100X

* Indicates primary specialty

NPI Profile & details for AHC MONCRIEF-JACKSON

NPI Number 1386652956
Legal business name
LBN
AHC MONCRIEF-JACKSON
Authorized official MARIYE MCCRAY - (UBO MANAGER)
Entity Organization
Organization subpart Yes
Enumeration date 08/03/2006
Last updated 05/22/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • Other: AN2598588 MEDCO ID
  • Other: 42-22802 NCPDP

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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