Provider Type Icon

MARTIN ARMY COMMUNITY HOSPITAL NPI 1902128077


NPI Information

NPI: 1902128077
Provider Name: MARTIN ARMY COMMUNITY HOSPITAL
Classification: Clinic/Center - 261QM1102X
Entity Type: Organization

Specialization: Military Outpatient Operational (Transportable) Component

Address:
7191 KANOPSKY AVE
BLDG. #2625
FORT BENNING, GA
ZIP 31905
Phone: (706) 545-1661
Get Directions

MARTIN ARMY COMMUNITY HOSPITAL is a military outpatient operational (transportable) component clinic center in Fort Benning, GA. The provider is non-fixed facilities or distinct parts of a non-fixed facility, providing outpatient medical and dental services, primarily intended for DoD active duty. The entity is funded with other than Defense Health Program funding. Non-DoD active duty may receive services from this entity. Non-fixed facilities are generally deployed DoD health care activities, not providing services on or in association with a DoD fort or base. Non-fixed facilities include outpatient services furnished onboard ships. Non-fixed facilities also include deployed clinics. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. MARTIN ARMY COMMUNITY HOSPITAL NPI is 1902128077. The provider is registered as an organization entity type.

The provider's business location address is:

7191 KANOPSKY AVE
BLDG. #2625
FORT BENNING, GA
ZIP 31905-540
Phone: (706) 545-1661
Fax: (706) 545-1695

The provider's authorized official is Elaine Morgan .
The authorized official title is Credentials Manager and has the following contact phone number (706) 544-5195.

The enumeration date for this NPI number is 2/17/2010 and was last updated on 2/17/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1102XClinic/CenterMilitary Outpatient Operational (Transportable) ComponentYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.