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Contact Information

AHC MONCRIEF-JACKSON
4575 8TH DIVISION RD BLDG 4575
COLUMBIA, SC29207
 Phone: 803-751-7358
 Fax: 803-751-2451
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Military/U.S. Coast Guard Pharmacy

332000000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for AHC MONCRIEF-JACKSON

NPI # 1043319213
LBN Legal business name AHC MONCRIEF-JACKSON
Authorized official HECTOR MORALES - (CHIEF DHA PASS)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/22/2006
Last updated 06/30/2025 - About 11 months ago
Identifiers
Other 2091733 PK
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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