MARTIN ARMY COMMUNITY HOSPITAL


Address: 1100 Brookstone Centre Pkwy Rm 128, Columbus, GA 31904-4577
Phone: 7065441081

MARTIN ARMY COMMUNITY HOSPITAL (NPI# 1023378403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023378403
Entity Type Organization
Organization Name MARTIN ARMY COMMUNITY HOSPITAL
Other Organization Name BENNING CBPCC PHCY
Practice Address 1100 Brookstone Centre Pkwy Rm 128
Columbus
GA 31904-4577
Mailing Address Martin Army Community Hospital C/o Mcxb-pp Meddac
6600 Van Aalst Blvd Bldg 9250
Ft Benning
GA 31905-2102
Practice Telephone 7065441081
Mailing Telephone 7065441081
Enumeration Date 2012-05-21
Last Update Date 2020-10-01
Authorized Official Name HECTOR MORALES (CHIEF DHA PASS)
Authorized Official Telephone 2105366650
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332000000X Military/U.S. Coast Guard Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2135279 01

Other Provider/Organization Names

Other Name Type Code
BENNING CBPCC PHCY Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1780942664 Martin Army Community Hospital Military Hospital 8830 Watkins Ave, Fort Benning, GA 31905-5529 2012-04-27
1588945612 Martin Army Community Hospital Clinic/Center 4327 North El Salvador Way, Eglin Afb, FL 32542 2011-09-02
1992009401 Martin Army Community Hospital Military/U.S. Coast Guard Pharmacy 6998 Old Cusseta Rd Bldg 4202, Fort Benning, GA 31905-5431 2010-12-28
1053624130 Martin Army Community Hospital Clinic/Center 6976 Old Cusseta Rd, Harmony Church, Fort Benning, GA 31905-5431 2010-07-19
1902128077 Martin Army Community Hospital Clinic/Center 7191 Kanopsky Ave, Bldg. #2625, Fort Benning, GA 31905-4540 2010-02-17
1063616266 Martin Army Community Hospital Clinic/Center 9200 Mame Road, Fort Benning, GA 31905 2007-06-12
1245434448 Martin Army Community Hospital Clinic/Center 2622 Soldiers Plaza, Fort Benning, GA 31905 2007-06-12
1083818280 Martin Army Community Hospital Clinic/Center 2828 Sightseeing Road, Fort Benning, GA 31905 2007-06-12
1891999090 Martin Army Community Hospital Clinic/Center 3255 Sand Hill, 11th Abn Div Rd, Fort Benning, GA 31905 2007-06-12
1972707172 Martin Army Community Hospital Clinic/Center 3020 Sand Hill, 11th Airborne Division Road, Fort Benning, GA 31905 2007-06-12

Office Location

Street Address 1100 BROOKSTONE CENTRE PKWY RM 128
City COLUMBUS
State GA
Zip Code 31904-4577

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821641457 At Home Palliative Care, LLC Nursing Care 114 Enterprise Ct, Suite B, Columbus, GA 31904 2019-07-23
1285191049 Shandra Ladell Grimes Nurse Practitioner 2300 Manchester Expwy St Francis Hospital, Suite C-001, Columbus, GA 31904 2019-02-27
1881161529 Lesley Kathleen Simmons Massage Therapist 5402 15th Ave, Columbus, GA 31904 2018-10-31
1184190662 Alphonsa Joseph Nurse Practitioner 2430 Brookstone Centre Parkway, Columbus, Georgia 31904, Columbus, GA 31904 2018-10-22
1568942704 William Pearce Massey Social Worker 8851-1 Moore Road, Columbus, GA 31904 2018-08-17
1033696372 Marlise V. Gray Counselor 2013 Devonshire Dr. Suite 115, Columbus, GA 31904 2018-07-19
1710418173 Amanda Barnette Pruett Behavioral Analyst 200 Brookstone Centre Pkwy Bldg 200, Columbus, GA 31904 2017-03-27
1750833232 Carrie Leigh Whitehead Nurse Practitioner 6228 Bradley Park Dr. Suite A, Columbus, GA 31904 2016-10-31
1609323369 Shomika Lasha Battle Registered Nurse 2101 North Avenue, Columbus, GA 31904 2016-09-09
1952759219 Peaceful River Home Care Agency In Home Supportive Care 738 Rudgate Road, Columbus, GA 31904 2016-05-27
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Taxonomy Information

Taxonomy Code 332000000X
Grouping Suppliers
Classification Military/U.S. Coast Guard Pharmacy

Taxonomy Definition

A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services.
Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: new; 7/1/2006: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386743706 14th Medical Group Sgsl Military/U.S. Coast Guard Pharmacy 201 Independence Bldg 1100, Columbus, MS 39710-5300 2006-09-22
1558760504 14th Medical Squadron Military/U.S. Coast Guard Pharmacy 201 Independence Bldg 1100, Columbus, MS 39710-5300 2014-08-15
1487630356 14th Medical Group Military/U.S. Coast Guard Pharmacy 201 Independence, Suite 101, Columbus, MS 39710-5300 2005-12-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477811149 Winn - Third Party Insurance Military/U.S. Coast Guard Pharmacy Bldg 8435, 306 Vanguard Road, Ft Stewart, GA 31314 2012-05-01
1992009401 Martin Army Community Hospital Military/U.S. Coast Guard Pharmacy 6998 Old Cusseta Rd Bldg 4202, Fort Benning, GA 31905-5431 2010-12-28
1427131432 Eisenhower Army Medical Center Military/U.S. Coast Guard Pharmacy 29709 B Street, Fort Gordon, GA 30905-5741 2006-10-23
1790875029 Winn-third Party Insurance Military/U.S. Coast Guard Pharmacy Hunter Af Bldg, Bldg 1450, Savannah, GA 31409 2006-10-16
1457450066 Eisenhower Army Medical Center Military/U.S. Coast Guard Pharmacy Bldg 366, Ft Macpherson, GA 30330-5000 2006-09-21
1497854160 Eisenhower Army Medical Center Military/U.S. Coast Guard Pharmacy East Hospital Rd, Bldg 300 Rm 2c22, Ft Gordon, GA 30905 2006-09-21
1649379314 Martin Army Community Hospital Military/U.S. Coast Guard Pharmacy Marne Rd Bldg 9200, Ft Benning, GA 31905 2006-09-21
1548369150 Martin Army Community Hospital Military/U.S. Coast Guard Pharmacy Marne Rd Bldg 9230, Ft Benning, GA 31905 2006-09-21
1215036983 Eisenhower Army Medical Center Military/U.S. Coast Guard Pharmacy Avenue B Bldg 29709, Mark Connelly Health Clinic, Ft Gordon, GA 30905 2006-09-21
1467559211 Winn-third Party Insurance Military/U.S. Coast Guard Pharmacy 1061 Harmon Ave Ste 2j11b, Fort Stewart, GA 31314-5641 2006-09-20
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Competitor

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City COLUMBUS
Zip Code 31904

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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