Martin Army Community Hospital in Fort Benning - Military/u.s. Coast Guard Outpatient
Martin Army Community Hospital - NPI 1891999090
Martin Army Community Hospital is a Military/u.s. Coast Guard Outpatient in Fort Benning, Georgia. Martin Army Community Hospital practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Outpatient. The NPI Number for Martin Army Community Hospital is 1891999090. The last update date is 2020-10-05.
Martin Army Community Hospital's current location address is 6600 Van Aalst Blvd Bldg 9250, Fort Benning, Georgia. You can contact this provider via phone number 7624082273. The mailing address for Martin Army Community Hospital is 6600 Van Aalst Blvd Bldg 9250, Fort Benning, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Martin Army Community Hospital |
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Address | 6600 Van Aalst Blvd Bldg 9250, Fort Benning, Georgia |
Phone Number | 7624082273 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | UBO MANAGE |
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Authorized Official Name | Davis Kertredia |
Credentials | MS, CRCR, |
Telephone Number | 7624080007 |
NPI Number Detail
NPI Number | 1891999090 |
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Provider Enumeration Date | 2007-06-12 |
Last Updated Date | 2020-10-05 |
Provider Mailing Address Detail
Address | 6600 Van Aalst Blvd Bldg 9250 |
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City | Fort Benning |
State | Georgia (GA) |
Post Code | 319052102 |
Phone Number | 7624082273 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Military/u.s. Coast Guard Outpatient |
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Taxonomy | 261Qm1100X |
Definition: The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-dep |
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What is the Martin Army Community Hospital's 1891999090?
The Martin Army Community Hospital's NPI (National Provider Identifier) Number is 1891999090. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Martin Army Community Hospital?
The Martin Army Community Hospital is situated at 6600 Van Aalst Blvd Bldg 9250, in the city of Fort Benning, state of GA, with the zip code 319052102.
What is the Martin Army Community Hospital's area of specialization and corresponding taxonomy classification?
The Martin Army Community Hospital's specialty field is Military/u.s. Coast Guard Outpatient, and it falls under the taxonomy code 261Qm1100X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1891999090 to Martin Army Community Hospital?
The Centers for Medicare & Medicaid Services originally issued the 1891999090 to Martin Army Community Hospital on 2007-06-12.
When was the Martin Army Community Hospital's information last updated?
The Martin Army Community Hospital's information was last updated on 2020-10-05.
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