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Organization
MONCRIEF ARMY COMMUNITY HOSPITAL
Active
Organization
MONCRIEF ARMY COMMUNITY HOSPITAL
Active
Parent organization
MONCRIEF ARMY COMMUNITY HOSPITAL
Other names
USADC MONCRIEF ACH-JACKSON
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONCRIEF ARMY COMMUNITY HOSPITAL
Authorized official
WILLIE WARREN (CHIEF, UBO)
(803) 751-0472
Entity
Organization
Contact information
Practice address
4500 STUART ST, US ARMY DENTAL CLINIC, COLUMBIA, SC 29207-5700
(803) 751-2241
Mailing address
4500 STUART ST, BOX 497, FORT JACKSON, SC 29207-5720
(803) 751-0472
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Enumeration date
06/27/2007
Last updated
04/08/2015
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