# WOMACK ARMY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WOMACK ARMY MEDICAL CENTER
- **Other names:** FAYETTEVILLE MEDICAL HOME-BRAGG
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760795769
- **Legal business name:** WOMACK ARMY MEDICAL CENTER
- **Authorized official:** BARBARA BLACK (UBO MANAGER)
- **Authorized official phone:** (910) 907-8537

## Contact information

- **Practice address:** 2350 BENTRIDGE LN, WOODLAND BLDG, FAYETTEVILLE, NC 28304-0586
- **Practice address phone:** (910) 907-9262
- **Mailing address:** 2817 REILLY ST, MCXC-DBO-UB WAMC STOP A, FORT BRAGG, NC 28310-7324
- **Mailing address phone:** (910) 907-6693

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/19/2010
- **Last updated:** 02/11/2013
