Organization Name: | MARTIN ARMY COMMUNITY HOSPITAL |
NPI Number: | 1194730846 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENNIS JONES (UBO MANAGER) |
Mailing Address: | 7950 Martin Loop Fort Benning |
State: | GA US |
Postal Code: | 319055647 |
Phone Number: | 7065442273 |
Fax Number: | |
NPI Enumeration Date: | 07/30/2006 |
NPI Last Update Date: | 01/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Military/U.S. Coast Guard Outpatient |
Taxonomy Definition: | The Defense Health Program or U.S. Coast Guard funded |