NPIMap

Organization Active NPI

Martin Army Community Hospital

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Benning, GA
National Provider Identifier
1740496181
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
MARTIN ARMY COMMUNITY HOSPITAL
Practice address
5303 3Rd Infantry Division Rd BLDG 3010
Fort Benning, GA 31905-5012
Phone
(762) 408-2273
NPI assigned
May 15, 2007
Organization subpart
Yes
Parent organization
MARTIN ARMY COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Authorized official

Name
Dennis Jones
Title
Ubo Manager
Phone
(706) 544-5724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X Primary

Addresses

Primary practice location

5303 3Rd Infantry Division Rd BLDG 3010
Fort Benning, GA 31905-5012

Mailing address

6600 Van Aalst Blvd BLDG 9250
Attn MCXB-PP
Fort Benning, GA 31905-2102
Phone (762) 408-2273

Other names 1

  • RECEPTION STA. TMC-FT. BENNING Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Martin Army Community Hospital28 organizations share this tax ID, including this one
Part of
Martin Army Community Hospital

Other organizations with this tax ID 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1740496181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 VAN AALST BLVD BLDG 9250",
            "address_2": "ATTN MCXB-PP",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319052102",
            "telephone_number": "762-408-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5303 3RD INFANTRY DIVISION RD BLDG 3010",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319055012",
            "telephone_number": "762-408-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN ARMY COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARTIN ARMY COMMUNITY HOSPITAL",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "UBO MANAGER",
        "authorized_official_telephone_number": "706-544-5724"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RECEPTION STA. TMC-FT. BENNING",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RECEPTION STA. TMC-FT. BENNING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 20, 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.