# MARTIN ARMY COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MARTIN ARMY COMMUNITY HOSPITAL
- **Other names:** DOD FT. BENNING HARMONY PHARMACY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1326706946
- **Legal business name:** MARTIN ARMY COMMUNITY HOSPITAL
- **Authorized official:** HECTOR GONZALEZ (CHIEF DHA PASS)
- **Authorized official phone:** (210) 536-6650

## Contact information

- **Practice address:** 6998 OLD CUSSETA RD, FORT BENNING, GA 31905-5431
- **Practice address phone:** (706) 626-1620
- **Practice address fax:** (706) 626-1621
- **Mailing address:** 6998 OLD CUSSETA RD, FORT BENNING, GA 31905-5431
- **Mailing address phone:** (706) 626-1620
- **Mailing address fax:** (706) 626-1621

## Taxonomy

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

## Other

- **Enumeration date:** 12/01/2021
- **Last updated:** 12/01/2021