# MARTIN ARMY COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MARTIN ARMY COMMUNITY HOSPITAL
- **Other names:** CTMC 2-HARMONY CHURCH
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053624130
- **Legal business name:** MARTIN ARMY COMMUNITY HOSPITAL
- **Authorized official:** KERTREDIA DAVIS CCA, CPAR, CRCR (UBO MANAGER)
- **Authorized official phone:** (762) 408-0007

## Contact information

- **Practice address:** 6976 OLD CUSSETA RD, HARMONY CHURCH, FORT BENNING, GA 31905-5431
- **Practice address phone:** (706) 544-3278
- **Mailing address:** 6600 VAN AALST BLVD BLDG 9250, ATTN TREASURY OFFICE MCXB-PP, FORT BENNING, GA 31905-2102
- **Mailing address phone:** (706) 544-5724

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/19/2010
- **Last updated:** 01/20/2021