Organization
MARTIN ARMY COMMUNITY HOSPITAL
Active
Parent organization
MARTIN ARMY COMMUNITY HOSPITAL
Other names
7TH SPECIAL FORCES-TMC 9-EGLIN
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARTIN ARMY COMMUNITY HOSPITAL
Authorized official
DENNIS JONES (UBO MANAGER)
(706) 544-5724
Entity
Organization
Contact information
Practice address
4327 NORTH EL SALVADOR WAY, EGLIN AFB, FL 32542
(850) 885-9979
Mailing address
6600 VAN AALST BLVD BLDG 9250, ATTN MCXB-PP MEDDAC, 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
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194730846
PARENT FACILITY NPI
—
Enumeration date
09/02/2011
Last updated
10/05/2020
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