Organization · Type 2 NPI

Moncrief Army Community Hospital

Military/U.S. Coast Guard Outpatient Clinic/Center · Fort Jackson, SC

NPI number 1376749838 Active

Practice location

5330 Mosby Street
Fort Jackson, SC 29207

Mailing address

4500 Stuart St, Box 497
Fort Jackson, SC 29207-5720

Specialties and licenses

TaxonomyCodeLicense
Military/U.S. Coast Guard Outpatient Clinic/Center Primary 261QM1100XNone listed

Military/U.S. Coast Guard Outpatient Clinic/Center: The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as exam…

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About NPI 1376749838

Moncrief Army Community Hospital's National Provider Identifier is 1376749838, issued on Jun 22, 2007. The primary taxonomy on file is Military/U.S. Coast Guard Outpatient Clinic/Center (261QM1100X), and the practice location is in Fort Jackson, SC. The record was last updated on Apr 8, 2015.