National Provider Identifier Database

AMC WOMACK FT BRAGG
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

AMC WOMACK-FT BRAGG
2817 REILLY ST
FORT BRAGG, NC28310-7301
Phone: 910-907-9262
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
Military/U.S. Coast Guard Pharmacy 332000000X
Military/U.S. Coast Guard Transport 341800000X

* Indicates primary specialty

NPI Profile & details for AMC WOMACK-FT BRAGG

NPI Number 1740377423
Legal business name
LBN
AMC WOMACK-FT BRAGG
Authorized official MARVIN PRIMOS - (UBO MANAGER)
Entity Organization
Organization subpart Yes
Enumeration date 10/06/2006
Last updated 05/22/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • Other: 0294A BCBS CMS 1500 PROVIDER ID
  • Other: 0465Y BCBS PHARMACY ID
  • Other: 00539 BCBS UB-04 PROVIDER ID

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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