Organization
WOMACK ARMY MEDICAL CENTER
Active
Parent organization
WOMACK ARMY MEDICAL CENTER
Other names
OCC HLTH NSG OFF-SUNNY POINT
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
6280 SUNNY POINT RD, OCC HEALTH CLINIC MILITARY OCEAN TERMINAL SUNNY POINT, SOUTHPORT, NC 28461-7800
(910) 907-9262
Mailing address
2817 REILLY ST, MCXC-DBO-UB WAMC STOP A, FORT BRAGG, NC 28310-7324
(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
—
00539
BCBS UB-04 PROVIDER ID
—
01
—
0294A
BCBS CMS 1500 PROVIDER ID
—
01
—
1740377423
PARENT FACILITY NPI
—
Enumeration date
05/21/2007
Last updated
02/11/2013
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