Organization Active NPI

Wach

  • Military Hospital
  • Ft Stewart, GA
National Provider Identifier
1699774083
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
License
RN139039 Issued in GA
Legal business name
WACH
Practice address
1061 Harmon Ave
Ft Stewart, GA 31314-5604
Phone
(912) 435-5555
NPI assigned
Jul 18, 2005
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. Debra Lee Rhea, RN
Title
Clinical Nurse
Phone
(912) 435-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X RN139039 GA Primary

Addresses

Primary practice location

1061 Harmon Ave
Ft Stewart, GA 31314-5604

Mailing address

641 Oak Hampton Rd
Fleming, GA 31309-8433
Phone (912) 884-3955

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699774083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 OAK HAMPTON RD",
            "city": "FLEMING",
            "state": "GA",
            "postal_code": "313098433",
            "telephone_number": "912-884-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "city": "FT STEWART",
            "state": "GA",
            "postal_code": "313145604",
            "telephone_number": "912-435-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RHEA",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CLINICAL NURSE",
        "authorized_official_telephone_number": "912-435-5555",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "GA",
            "license": "RN139039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Stewart, 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.