Organization
MARTIN ARMY COMMUNITY HOSPITAL
Active
Parent organization
MARTIN ARMY COMMUNITY HOSPITAL
Other names
USADC FT. BENNING LOVE
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARTIN ARMY COMMUNITY HOSPITAL
Authorized official
KERTREDIA DAVIS CRCR, CHLIS CRCR CCA (UBO MANAGER)
(762) 408-0007
Entity
Organization
Contact information
Practice address
7101 HOFF ST, BUILDING 9240, FORT BENNING, GA 31905-5645
(706) 544-2051
Mailing address
6600 VAN AALST BLVD BLDG 9250, ATTN TREASURY MCXB-PP, FORT BENNING, GA 31905-2102
(762) 408-2273
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Enumeration date
06/11/2007
Last updated
01/20/2021
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