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.

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Contact Information

AMC WOMACK-FT BRAGG

2817 REILLY ST
FORT BRAGG, NC 28310-7301

Phone: 910-907-9262
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
Military/U.S. Coast Guard Pharmacy	332000000X	87	All Other Suppliers
Military/U.S. Coast Guard Transport	341800000X

Indicates primary specialty

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NPI Profile & details for AMC WOMACK-FT BRAGG

NPI # 1740377423

LBN Legal business name AMC WOMACK-FT BRAGG

Authorized official MARVIN PRIMOS - (UBO MANAGER)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 10/06/2006

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

Identifiers

Other	0294A	BCBS CMS 1500 PROVIDER ID
Other	0465Y	BCBS PHARMACY ID
Other	00539	BCBS UB-04 PROVIDER ID

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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