MARTIN ARMY HOSPITAL (NPI# 1770664849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770664849 |
Entity Type | Organization |
Organization Name | MARTIN ARMY HOSPITAL |
Other Organization Name | MEDDAC |
Practice Address |
Tmc #5, 11th Airborne Division Road Ft. Benning GA 31901 |
Mailing Address |
1629 Preston Dr Columbus GA 31906-1642 |
Practice Telephone | 7065449426 |
Enumeration Date | 2006-10-17 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. JAMES KELLY SMITH JR. (PHYSICIAN ASSISTANT) |
Authorized Official Telephone | 7065449426 |
Authorized Official Credential | PA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2865M2000X |
Military Hospital Specialization: Military General Acute Care Hospital |
01807 | GA | Hospitals |
Other Name | Type Code |
---|---|
MEDDAC | Other Name - Individual/Organization |
Street Address |
TMC #5, 11TH AIRBORNE DIVISION ROAD |
City | FT. BENNING |
State | GA |
Zip Code | 31901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790396984 | Chisholm Trail Urgent Care Pllc | Emergency Medicine | 11 Tsys Way, Columbus, GA 31901 | 2020-08-12 |
1770040099 | Columbus Ga Homecare, LLC | In Home Supportive Care | 1501 13th Street., Suite G, Columbus, GA 31901 | 2019-02-22 |
1750868782 | Health Matters, Inc. | Clinic/Center | 1124 13th St, Columbus, GA 31901 | 2018-07-23 |
1447754197 | Charles Chacha Maroa Babere | Student in an Organized Health Care Education/Training Program | Columbus Regional Health, Midtown Medical Center, 1900 10th Avenue, Suit 100, Columbus, GA 31901 | 2018-03-19 |
1861912867 | Demetria Laprel Mcgruder | Community Health Worker | 1230 2nd Ave., Columbus, GA 31901 | 2017-06-21 |
1679932016 | Crystal Gayle Passmore | Counselor | 233 12th St Ste 334, Columbus, GA 31901 | 2016-02-13 |
1700256344 | Kendra Ward | Community Health Worker | 1230 2nd Avenue, Columbus, GA 31901 | 2015-09-25 |
1437556701 | Wendy Denise Thomas | Adult Companion | 1501 13th Street Suite F, Columbus, GA 31901 | 2014-12-02 |
1134523996 | Danielle Elaine Berry | General Practice | Tree of Life Healthcare, 1968 North Avenue, Columbus, GA 31901 | 2014-10-22 |
1710239330 | Kati Michelle Turner | Pharmacist | 1800 10th Avenue, Columbus, GA 31901 | 2012-10-05 |
Find all providers in zip 31901 |
Taxonomy Code | 2865M2000X |
Grouping | Hospitals |
Classification | Military Hospital |
Specialization | Military General Acute Care Hospital |
A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in "fixed" facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A "fixed" facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as "pass-through" items. |
Notes: [1/1/2005: title modified, definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861586778 | Martin Army Community Hospital | Military Hospital | 4025 River Rock Way, Columbus, GA 31907-1282 | 2006-10-03 |
1770528309 | Dept. of Veterans Affairs | Military Hospital | 1449 Stone Mill Trce, Stone Mtn, GA 30083-1526 | 2006-06-18 |
1588029763 | Tammy Anderson | Military Hospital | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2015-12-15 |
1326480369 | Dwight D Eisenhower Army Medical Center | Military Hospital | 300 E Hospital Rd, Dwight D. Eisenhower Army Medical Center, Fort Gordon, GA 30905 | 2013-07-18 |
1831487743 | United States Army | Military Hospital | 300 W Hospital Rd, Rm7a36, Fort Gordon, GA 30905-5741 | 2011-07-12 |
1316273360 | Dwight D. Eisenhower Army Medical Center | Military Hospital | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2009-10-27 |
1760670731 | Carl Vinson Va Medical Center | Military Hospital | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2007-10-04 |
1962695775 | Eisenhower Army Med Cen | Military Hospital | 300 W Hospital Rd Bldg W, Fort Gordon, GA 30905-5741 | 2007-08-24 |
City | FT. BENNING |
Zip Code | 31901 |
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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.