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.

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Contact Information

AHC MONCRIEF-JACKSON

4500 STUART ST
FORT JACKSON, SC 29207-5720

Phone: 803-751-2160
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
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

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NPI Profile & details for AHC MONCRIEF-JACKSON

NPI # 1386652956

LBN Legal business name AHC MONCRIEF-JACKSON

Authorized official MARIYE MCCRAY - (UBO MANAGER)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 08/03/2006

Last updated 05/22/2025 - More than a year ago

Identifiers

	Other	AN2598588	MEDCO ID
	Other	42-22802	NCPDP

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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