MARTIN ARMY COMMUNITY HOSPITAL (NPI# 1780942664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780942664 |
| Entity Type | Organization |
| Organization Name | MARTIN ARMY COMMUNITY HOSPITAL |
| Practice Address |
8830 Watkins Ave Fort Benning GA 31905-5529 |
| Practice Telephone | 7065445195 |
| Mailing Telephone | 7065445195 |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2012-04-27 |
| Authorized Official Name | MR. ROBERT MARCUS KERCHOFER (PHYSICIAN ASSISTANT) |
| Authorized Official Telephone | 7065445226 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023378403 | Martin Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 1100 Brookstone Centre Pkwy Rm 128, Columbus, GA 31904-4577 | 2012-05-21 |
| 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 |
| Street Address |
8830 WATKINS AVE |
| City | FORT BENNING |
| State | GA |
| Zip Code | 31905-5529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134741366 | Micah Elizabeth Lajoie | Specialist/Technologist | 7148 2nd Cavalry Street, Ft. Benning, GA 31905 | 2020-05-11 |
| 1598301384 | Tiffany Nicole Wolfe | Physical Therapist | 7446 Sightseeing Road, Bldg 2515, Ft Benning, GA 31905 | 2019-11-27 |
| 1790261022 | Kyle Joseph Burkardt | Dentist | Love Dental Clinic, 7101 Hoff St, Bldg 9240, Apo, AA 31905 | 2018-07-19 |
| 1821514449 | Rebekah Schott | Dentist | 7101 Hoff St., Fort Benning, GA 31905 | 2017-08-15 |
| 1043757677 | Karen Tolliver | Dental Hygienist | 7770 Sightseeing Rd, Bldg 2828, Fort Benning, GA 31905 | 2017-01-20 |
| 1356897953 | Katelyn Dolezal | Student in an Organized Health Care Education/Training Program | 6600 Van Aalst Blvd, Bldg 9250, Fort Benning, GA 31905 | 2016-09-01 |
| 1043663636 | Vicky J. Nehl | Dental Hygienist | 11th Abn Div Rd, Bldg 3255, Fort Benning, GA 31905 | 2016-07-19 |
| 1376992719 | Xenia Key | Dental Assistant | 7770 Sightseeing Road, Bernheim Dental Clinic, Fort Benning, GA 31905 | 2016-06-07 |
| 1588013189 | Barbara Parker | Dental Assistant | 2828 Sightseeing Rd, Fort Benning, GA 31905 | 2016-06-06 |
| 1568811255 | Tavonna Ashley | Dental Hygienist | 7107 Hoff Street, Apo, AA 31905 | 2016-06-03 |
| Find all providers in zip 31905 | ||||
| Taxonomy Code | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770956252 | Clara Mccomb | Military Hospital | 6600 Van Aalst Blvd., Fort Benning, GA 31905 | 2015-11-05 |
| 1508312711 | Martin Army Community Hospital | Military Hospital | Martin Army Community Hospital, 6600 Van Aalst Blvd, Bldg 9250, Fort Benning, GA 31905 | 2016-08-28 |
| 1366888307 | Martin Army Community Hospital | Military Hospital | 7950 Martin Loop, Fort Benning, GA 31905-5648 | 2013-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982154241 | Department of Veteran Affairs | Military Hospital | 1122 Providence Way, Lawrenceville, GA 30046-3316 | 2016-10-11 |
| 1417307190 | Sanghyub Lee | Military Hospital | 411 E 9th St # 74, Fort Stewart, GA 31314-5036 | 2016-06-14 |
| 1790113348 | Veronica Garrett | Military Hospital | 804 Rosemont Pkwy, Roswell, GA 30076-4934 | 2013-10-17 |
| 1629357934 | United States Army | Military Hospital | 300 W Hospital Rd Rm 7a-46, Fort Gordon, GA 30905-5741 | 2011-08-04 |
| 1093947780 | Army | Military Hospital | 202 Vineyard Way, Apt. 601, Evans, GA 30809 | 2009-08-14 |
| 1497953012 | Va Medical Center | Military Hospital | 1401 Post Oak Dr Apt F, Clarkston, GA 30021-3145 | 2007-07-05 |
| 1609806504 | Va Medical Center | Military Hospital | 940 Capella Creek Way, Grayson, GA 30017-1578 | 2006-07-04 |
| 1508312869 | Debbie Speed-simmons | Military Hospital | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2016-08-28 |
| 1306399043 | Trevor Wesley Tobin | Military Hospital | 300 E Hospital Rd, Fort Gordon, GA 30905 | 2016-07-29 |
| 1679962468 | Jamie Vander Ark | Military Hospital | 1061 Harmon Ave, Suite 1d03, Fort Stewart, GA 31314-5641 | 2015-01-15 |
| Find all providers with the same taxonomy | ||||
| City | FORT BENNING |
| Zip Code | 31905 |
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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.