MARTIN ARMY HOSPITAL


Address: Tmc #5, 11th Airborne Division Road, Ft. Benning, GA 31901
Phone: 7065449426

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2865M2000X Military Hospital
Specialization: Military General Acute Care Hospital
01807 GA Hospitals

Other Provider/Organization Names

Other Name Type Code
MEDDAC Other Name - Individual/Organization

Office Location

Street Address TMC #5, 11TH AIRBORNE DIVISION ROAD
City FT. BENNING
State GA
Zip Code 31901

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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 Information

Taxonomy Code 2865M2000X
Grouping Hospitals
Classification Military Hospital
Specialization Military General Acute Care Hospital

Taxonomy Definition

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]

Providers in the same taxonomy and state

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

Competitor

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City FT. BENNING
Zip Code 31901

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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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