MEDICARE: WOMACK ARMY MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1100X	Military/U.S. Coast Guard Outpatient Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	1740377423	OTHER	PARENT FACILITY NPI
2	00539	OTHER	BCBS UB-04 PROVIDER ID
3	0465Y	OTHER	BCBS PHARMACY ID
4	0294A	OTHER	BCBS CMS 1500 PROVIDER ID

General Provider Information

NPI Number	:	1891909321
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOMACK ARMY MEDICAL CENTER

Provider Business Mailing Address
First Line	:	2817 REILLY ST
Second Line	:	MCXC-DBO-UB WAMC STOP A
City	:	FORT BRAGG
State	:	NC
Zip	:	28310-7324
Country	:	US
Telephone Number	:	910-907-6693
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 GRUBER RD
Second Line	:	BUILDING C-1722
City	:	FORT BRAGG
State	:	NC
Zip	:	28310-0001
Country	:	US
Telephone Number	:	910-907-9262
Fax Number	:

Authorized Official
Title or Position	:	UBO MANAGER
Name	:	BARBARA BLACK
Credential	:
Telephone Number	:	910-907-8537

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	12/23/2014

Similar Medicare Providers

1962616490 — WOMACK ARMY MEDICAL CENTER
Practice Location Address:

6744 LOGISTICS AVE , BLDG M-4861
FORT BRAGG, NC
28310-0001

Practice Phone: 910-907-9262
Practice Fax:

1295941664 — WOMACK ARMY MEDICAL CENTER
Practice Location Address:

44 BASTOGNE DR
FORT BRAGG, NC
28310-0001

Practice Phone: 910-907-9262
Practice Fax:

1306041884 — WOMACK ARMY MEDICAL CENTER
Practice Location Address:

6238 ARDENNES RD
FORT BRAGG, NC
28310-0001

Practice Phone: 910-432-4821
Practice Fax:

1427253541 — WOMACK ARMY MEDICAL CENTER
Practice Location Address:

4861 LOGISTIC AVE
FORT BRAGG, NC
28310-0001

Practice Phone: 910-907-9068
Practice Fax:

1649476987 — WOMACK ARMY MEDICAL CENTER
Practice Location Address:

4-1838 NORMANDY DR
FORT BRAGG, NC
28310-0001

Practice Phone: 910-432-6190
Practice Fax:

1508285362 — WOMACK ARMY MEDICAL CENTER
Practice Location Address:

KENDENBURG ST BLDG H-6338
FORT BRAGG, NC
28310-0001

Practice Phone: 910-570-3399
Practice Fax:

Directions to “WOMACK ARMY MEDICAL CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.