NPIMap

Organization Active NPI

Defense Finance & Actg Serv

  • Military Hospital
  • Fort Benning, GA
National Provider Identifier
1366850117
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
License
RPH025911 Issued in GA
Legal business name
DEFENSE FINANCE & ACTG SERV
Practice address
7950 Martin Loop
Fort Benning, GA 31905-5648
Phone
(706) 544-0347
NPI assigned
Jul 24, 2014
Last updated
Jul 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Authorized official

Name
Tajudeen Ottun
Title
Assistant Chief Pharmacy
Phone
(706) 544-0347

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X RPH025911 GA
Military Hospital 286500000X RPH025911 GA Primary

Addresses

Primary practice location

7950 Martin Loop
Fort Benning, GA 31905-5648

Mailing address

5462 Whittlesey Blvd
Apt# 927
Columbus, GA 31909-2185
Phone (850) 322-0680

National Provider Directory

National Provider Directory
Tax ID family
Navy Medical Branch Clinic - Uk200 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 9

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1366850117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5462 WHITTLESEY BLVD",
            "address_2": "APT# 927",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319092185",
            "telephone_number": "850-322-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 MARTIN LOOP",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319055648",
            "telephone_number": "706-544-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEFENSE FINANCE & ACTG SERV",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "OTTUN",
        "authorized_official_first_name": "TAJUDEEN",
        "authorized_official_title_or_position": "ASSISTANT CHIEF PHARMACY",
        "authorized_official_telephone_number": "706-544-0347"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "RPH025911",
            "primary": false
        },
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "GA",
            "license": "RPH025911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Benning, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.