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Ahc Moncrief-Jackson

Ahc Moncrief-Jackson is a healthcare organization registered as Military General Acute Care Hospital in Fort Jackson, SC, holding Type 2 (organization) NPI 1386652956 since 2006. The authorized official on file is Mariye Mccray, Ubo Manager.

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NPI 1386652956
Entity type Organization (Type 2)
Legal business name Ahc Moncrief-Jackson
Other name <Unavail>
Parent organization Ahc Moncrief-Jackson
Practice address 4500 STUART ST, Fort Jackson, SC, 29207
Phone 8037512160
Enumeration date 2006-08-03
Last updated in NPPES 2025-05-22

Authorized official

Name Mariye Mccray
Title Ubo Manager
Phone 8037510472

Taxonomy & classification

Taxonomy code Specialty Primary License State
261QM1100X Military/U.S. Coast Guard Outpatient Clinic/Center Secondary SC
261QM1101X Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center Secondary SC
2865M2000X Military General Acute Care Hospital Primary SC

Other identifiers

Identifier Type State Issuer
42-22802 Other NCPDP
AN2598588 Other MEDCO ID
Copy-ready billing details
Provider: Ahc Moncrief-Jackson
NPI: 1386652956
Taxonomy: 2865M2000X (Military General Acute Care Hospital)
Address: 4500 STUART ST, Fort Jackson, SC, 29207

Providers at this address

NPI Name Type Specialty Location
1477548824 Colleen Barkley Individual Athletic Trainer Fort Jackson, SC
1659341972 Alexander Shilman Individual Pharmacist Columbia, SC
1215996251 Philip Suh Individual Dermatology Physician Fort Jackson, SC
1720043003 David Beltran Individual Oral and Maxillofacial Surgery (Dentist) Fort Jackson, SC
1679588966 Matthew Samonte Individual Occupational Therapist Columbia, SC
1629181466 Rebecca Blankenship Individual Family Nurse Practitioner Columbia, SC
1215046248 Joseph Cambre Individual Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Columbia, SC
1073618880 Eugene Kistler Individual Medical Physician Assistant Columbia, SC

Verify this record

Cross-check NPI 1386652956 against the authoritative CMS record: view Ahc Moncrief-Jackson on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Ahc Moncrief-Jackson located?
The practice location on file with NPPES is in Fort Jackson, SC.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-05-22. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-05-22.