Organization Active NPI

Martin Army Community Hospital

  • Military Hospital
  • Columbus, GA
National Provider Identifier
1174699466
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
License
1047558 Issued in KY
Legal business name
MARTIN ARMY COMMUNITY HOSPITAL
Practice address
7950 Martin Loop
MCXB-N
Columbus, GA 31905-5647
Phone
(706) 544-2303
Fax
(706) 544-1243
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Jung Sam Kim, NP
Title
Family Nurse Practitioner
Phone
(706) 544-2303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X 1047558 KY Primary

Addresses

Primary practice location

7950 Martin Loop
MCXB-N
Columbus, GA 31905-5647

Mailing address

7950 Martin Loop
MCXB-N
Columbus, GA 31905-5647
Phone (706) 544-2303

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174699466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 MARTIN LOOP",
            "address_2": "MCXB-N",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319055647",
            "telephone_number": "706-544-2303",
            "fax_number": "706-544-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 MARTIN LOOP",
            "address_2": "MCXB-N",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319055647",
            "telephone_number": "706-544-2303",
            "fax_number": "706-544-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN ARMY COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JUNG",
        "authorized_official_middle_name": "SAM",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "706-544-2303",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "KY",
            "license": "1047558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.