Organization
WOMACK ARMY MEDICAL CENTER
Active
Parent organization
WOMACK ARMY MEDICAL CENTER
Other names
NICOE-INTREPID SPIRIT-BRAGG
Organization subpart
Yes
Provider details
NPI number
Legal business name
WOMACK ARMY MEDICAL CENTER
Authorized official
BARBARA BLACK (UBO MANAGER)
(910) 907-8537
Entity
Organization
Contact information
Practice address
3908 LONGSTREET, BLDG 3-4303, FORT BRAGG, NC 28310-0001
(910) 907-9262
Mailing address
2817 REILLY ST, MCXC-DBO-UB WAMC STOP A, FORT BRAGG, NC 28310-7301
(910) 907-6693
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740377423
PARENT NPI
—
Enumeration date
10/07/2015
Last updated
10/07/2015
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