CMS-1500 Box 24J / 33a • NPI
1740377423
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
2865M2000X (CMS A0[7])
Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care)
Box 32 Service Location & ZIP+4
2817 REILLY ST, FORT BRAGG, NC, 28310-7301
✓ 9-Digit EDI 837 ZIP+4 (28310-7301)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1740377423 (AMC WOMACK-FT BRAGG) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1740377423 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | AMC WOMACK-FT BRAGG |
| Plain-English Specialty | Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care) NUCC Code: 2865M2000X (Military Hospital, Military General Acute Care Hospital) |
| Certifying / Licensing Body | The Joint Commission (TJC) / CMS Conditions of Participation (CoP) |
| Practice Location Address | 2817 REILLY ST, FORT BRAGG, NC, 28310-7301 |
| Practice Telephone / Fax | Tel: (910) 907-9262 |
| Administrative Mailing Address | 2817 REILLY ST, FORT BRAGG, NC, 28310-7301 |
| Enumeration & Last Sync | Enumerated: 2006-10-06 | CMS Record Updated: 2025-05-22 |
| Authorized Official | MARVIN PRIMOS (UBO Manager) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (2865M2000X)
What Does Taxonomy Code 2865M2000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2865M2000X translates to:
"Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (AMC WOMACK-FT BRAGG)
Typical CPT / Diagnostic Procedures:- Emergency Department Resuscitation & Trauma Stabilization (CPT 99281–99285)
- Inpatient Acute Medical & Critical Care Admission (DRG / CPT 99221–99291)
- Cross-Sectional Diagnostic Imaging: CT, MRI & Ultrasound
- Inpatient General, Orthopedic & Cardiothoracic Surgery
- 24-Hour Clinical Laboratory, Blood Bank & Microbiology Services
- Broad-Spectrum IV Antimicrobials (Ceftriaxone, Piperacillin-Tazobactam, Vancomycin, Linezolid)
- Parenteral Anticoagulants & Thrombolytics (Heparin, Enoxaparin, Alteplase)
- Balanced Crystalloid Infusions & Oral Rehydration Protocols
- Perioperative Anesthetics, Vasopressors & Analgesics
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
261QM1100X — Clinic/Center, MilitaryU.S. Coast Guard OutpatientPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Secondary |
261QM1101X — Clinic/Center, Military and U.S. Coast Guard Ambulatory ProcedurePlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Secondary |
332000000X — MilitaryU.S. Coast Guard PharmacyPlain English: Licensed & Credentialed MilitaryU.S. Coast Guard Pharmacy | State: N/A | License: Verified | Primary: Secondary |
341800000X — MilitaryU.S. Coast Guard TransportPlain English: Licensed & Credentialed MilitaryU.S. Coast Guard Transport | State: N/A | License: Verified | Primary: Secondary |
2865M2000X — Military Hospital, Military General Acute Care HospitalPlain English: Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care) | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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