Organization Active NPI

Martin Army Community Hospital

  • Military Hospital
  • Columbus, GA
National Provider Identifier
1417038407
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
License
PT008541 Issued in GA
Legal business name
MARTIN ARMY COMMUNITY HOSPITAL
Practice address
4025 River Rock Way
Columbus, GA 31907-1282
Phone
(706) 544-9196
NPI assigned
Oct 18, 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
Dr. Chong Un Ko, DPT
Title
Staff Physical Therapist
Phone
(706) 544-9196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X PT008541 GA Primary

Addresses

Primary practice location

4025 River Rock Way
Columbus, GA 31907-1282

Mailing address

4025 River Rock Way
Columbus, GA 31907-1282

National Provider Directory

National Provider Directory
Tax ID family
Martin Army Community Hospital2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417038407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 RIVER ROCK WAY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319071282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 RIVER ROCK WAY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319071282",
            "telephone_number": "706-544-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN ARMY COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KO",
        "authorized_official_first_name": "CHONG",
        "authorized_official_middle_name": "UN",
        "authorized_official_title_or_position": "STAFF PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "706-544-9196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "GA",
            "license": "PT008541",
            "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.