# AHC MONCRIEF-JACKSON

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AHC MONCRIEF-JACKSON
- **Other names:** ACH MONCRIEF-JACKSON
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1386652956
- **Legal business name:** AHC MONCRIEF-JACKSON
- **Authorized official:** MARIYE MCCRAY (UBO MANAGER)
- **Authorized official phone:** (803) 751-0472

## Contact information

- **Practice address:** 4500 STUART ST, FORT JACKSON, SC 29207-5720
- **Practice address phone:** (803) 751-2160
- **Mailing address:** 4500 STUART ST, BOX 497, FORT JACKSON, SC 29207-5720
- **Mailing address phone:** (803) 751-0472
- **Mailing address fax:** (803) 751-0415

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | SC | — |
| 261QM1101X | Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center | — | SC | — |
| 2865M2000X | Military General Acute Care Hospital | — | SC | Yes |

## Other

- **Enumeration date:** 08/03/2006
- **Last updated:** 05/22/2025