<Unavail>

LBN: Ahc Moncrief-Jackson
<Unavail> is an health care organization with primary practice located at 4500 8Th Division Rd , Columbia SC 29207-5700. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Military/U.S. Coast Guard Pharmacy, Suppliers / Pharmacy. Suppliers / Military/U.S. Coast Guard Pharmacy is the primary health care specialty. Ahc Moncrief-Jackson can be contacted via phone (803) 751-7979, or through Morales, Hector via phone (210) 536-6650.

Contact Information

Primary practice address
4500 8Th Division Rd Columbia SC 29207-5700
Fax: (803) 751-2048
Website:
Authorized official contact:
Name: Morales, Hector

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Military/U.S. Coast Guard Pharmacy 332000000X
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1194138859
LBN Legal business name Ahc Moncrief-Jackson
DBA Doing business as <Unavail>
Authorized official Morales, Hector
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 10th, 2014
Last updated Jun 10th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194138859 NPPES
Other 2146206 PK

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