NPIMap

Organization Active NPI

Winn Army Community Hospital

  • Military Hospital
  • Fort Stewart, GA
National Provider Identifier
1457781833
Registry record updated Nov 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
License
C008473 Issued in NC
Legal business name
WINN ARMY COMMUNITY HOSPITAL
Practice address
1061 Harmon Ave
Winn Army Community Hospital; Credentials Office
Fort Stewart, GA 31314-5641
Phone
(912) 435-6933
Fax
(912) 435-5966
NPI assigned
Nov 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2013

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

Authorized official

Name
Brenda Odom
Title
Credentials Manager
Phone
(912) 435-6933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X C008473 NC Primary

Addresses

Primary practice location

1061 Harmon Ave
Winn Army Community Hospital; Credentials Office
Fort Stewart, GA 31314-5641

Mailing address

1061 Harmon Ave
Winn Army Community Hospital
Fort Stewart, GA 31314-5641
Phone (912) 435-6933

National Provider Directory

National Provider Directory

Locations

1061 Harmon Ave
Ofc
Fort Stewart, GA 31314
Phone (912) 435-6933

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384905600000",
    "number": "1457781833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "address_2": "WINN ARMY COMMUNITY HOSPITAL",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145641",
            "telephone_number": "912-435-6933",
            "fax_number": "912-435-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "address_2": "WINN ARMY COMMUNITY HOSPITAL; CREDENTIALS OFFICE",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145641",
            "telephone_number": "912-435-6933",
            "fax_number": "912-435-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINN ARMY COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-20",
        "last_updated": "2013-11-20",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "CREDENTIALS MANAGER",
        "authorized_official_telephone_number": "912-435-6933"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "NC",
            "license": "C008473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Stewart, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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.