NPIMap

Organization Active NPI

Martin Army Community Hospital

  • Military Outpatient Operational (Transportable) Component Clinic/Center
  • Fort Benning, GA
National Provider Identifier
1902128077
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military Outpatient Operational (Transportable) Component Clinic/CenterTaxonomy code 261QM1102X
Legal business name
MARTIN ARMY COMMUNITY HOSPITAL
Practice address
7191 Kanopsky Ave
BLDG. #2625
Fort Benning, GA 31905-4540
Phone
(706) 545-1661
Fax
(706) 545-1695
NPI assigned
Feb 17, 2010
Last updated
Feb 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Authorized official

Name
Ms. Elaine Morgan
Title
Credentials Manager
Phone
(706) 544-5195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Outpatient Operational (Transportable) Component Clinic/Center 261QM1102X NU Primary

Addresses

Primary practice location

7191 Kanopsky Ave
BLDG. #2625
Fort Benning, GA 31905-4540

Mailing address

7950 Martin Loop
Fort Benning, GA 31905-5647

National Provider Directory

National Provider Directory
Tax ID family
Cape Cod Anesthesia Associates456 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 5

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

7191 Kanopsky Ave
Bldg 2625
Fort Benning, GA 31905
Phone (706) 545-1661

NPI Registry JSON

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1902128077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 MARTIN LOOP",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319055647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7191 KANOPSKY AVE",
            "address_2": "BLDG. #2625",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319054540",
            "telephone_number": "706-545-1661",
            "fax_number": "706-545-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN ARMY COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "CREDENTIALS MANAGER",
        "authorized_official_telephone_number": "706-544-5195",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM1102X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military Outpatient Operational (Transportable) Component",
            "state": "NU",
            "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 Feb 17, 2010; 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.