Organization
WOMACK ARMY MEDICAL CENTER
Active
Other names
WAMC
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA BLACK (UBO MANAGER)
(910) 907-8537
Entity
Organization
Contact information
Practice address
2817 REILLY ST, FORT BRAGG, NC 28310-7301
(910) 907-9262
Mailing address
2817 REILLY ST, MCXC-DBO-UB WAMC STOP A, FORT BRAGG, NC 28310-7301
(910) 907-8537
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
—
—
261QM1101X
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center
—
—
2865M2000X
Military General Acute Care Hospital
Primary
—
—
332000000X
Military/U.S. Coast Guard Pharmacy
—
—
341800000X
Military/U.S. Coast Guard Transport
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00539
BCBS UB 92
NC
01
—
0294A
BCBS CMS 1500
NC
01
—
0465Y
BCBS PHARMACY
NC
Enumeration date
10/27/2006
Last updated
02/11/2013
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