NPIMap

Organization Active NPI

Martin Army Community Hospital

  • Military Hospital
  • Fort Benning, GA
National Provider Identifier
1780942664
Registry record updated Apr 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
Legal business name
MARTIN ARMY COMMUNITY HOSPITAL
Practice address
8830 Watkins Ave
Fort Benning, GA 31905-5529
Phone
(706) 544-5195
NPI assigned
Apr 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2012

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

Authorized official

Name
Mr. Robert Marcus Kerchofer, PA-C
Title
Physician Assistant
Phone
(706) 544-5226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X Primary

Addresses

Primary practice location

8830 Watkins Ave
Fort Benning, GA 31905-5529

Mailing address

8830 Watkins Ave
Fort Benning, GA 31905-5529
Phone (706) 544-5195

National Provider Directory

National Provider Directory

Locations

8830 Watkins Ave
Fort Moore, GA 31905
Phone (706) 544-0174

NPI Registry JSON

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1780942664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8830 WATKINS AVE",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319055529",
            "telephone_number": "706-544-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8830 WATKINS AVE",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319055529",
            "telephone_number": "706-544-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN ARMY COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "KERCHOFER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MARCUS",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "706-544-5226",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": null,
            "license": null,
            "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 Apr 27, 2012; 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.