# MARTIN ARMY COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902128077
- **Authorized official:** MS. ELAINE MORGAN (CREDENTIALS MANAGER)
- **Authorized official phone:** (706) 544-5195

## Contact information

- **Practice address:** 7191 KANOPSKY AVE, BLDG. \#2625, FORT BENNING, GA 31905-4540
- **Practice address phone:** (706) 545-1661
- **Practice address fax:** (706) 545-1695
- **Mailing address:** 7950 MARTIN LOOP, FORT BENNING, GA 31905-5647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1102X | Military Outpatient Operational (Transportable) Component Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/17/2010
- **Last updated:** 02/17/2010