| NPI | 1386652956 |
|---|---|
| Other Name | ACH MONCRIEF-JACKSON |
| Entity Type | Organization |
| Authorized Contact | WILLIE WARREN Chief, Ubo 803-751-0472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2865M2000X Military Hospital, Military General Acute Care Hospital |
| Additional Taxonomies | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
| 261QM1101X Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2015-04-08 |