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TMC EGLIN AFB
NPI 1164679601
Clinic/Center - Military/U.S. Coast Guard Outpatient in Eglin Afb, FL

Active since August 27, 2008
6069 WALKERS LN, TMC 12 CAMP RUDDER, EGLIN AFB, FL 32542(850) 882-1170 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 20, 2021, Oct 1, 2020 (2 updates tracked since 2020).

About Tmc Eglin Afb NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TMC EGLIN AFB (NPI 1164679601) is a healthcare organization registered as a military/u.s. coast guard outpatient in Eglin Afb, Florida and active in the NPI registry since August 2008. The organization lists Kertredia Davis, Ubo Manager, as its authorized official.

NPPES Registry Identity

NPI1164679601
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business NameMARTIN ARMY COMMUNITY HOSPITAL
Location Address6069 WALKERS LN, TMC 12 CAMP RUDDEREglin Afb, FL 32542-8505
Mailing Address6600 Van Aalst Blvd Bldg 9250, Attn Treasury Mcxb-ppFort Benning, GA 31905-2102 · (762) 408-2273
Phone(850) 882-1170
Organization SubpartYes
Authorized OfficialKertredia DavisUbo Manager · (762) 408-0007
Enumeration DateAugust 27, 2008
Last NPPES UpdateJanuary 20, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2021
✔ NPI 1164679601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Military/U.S. Coast Guard OutpatientAmbulatory Health Care Facilities
Taxonomy Code261QM1100X
Definition
The Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
6069 WALKERS LN, Eglin Afb, FL 32542
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Other Names 1

Doing Business AsTmc Eglin Afb

Other Identifiers 1

Other1194730846Parent Facility Npi

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KYLE GENE COOPER PA-C
Physician Assistant
6069 WALKERS LN
EGLIN AFB, FL 32542
Okaloosa County (850) 882-1208

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Martin Army Community Hospital's NPI number?

The NPI number for Martin Army Community Hospital is 1164679601. It was assigned to this organization in the NPPES registry on August 27, 2008. The provider is doing business as Tmc Eglin Afb.

Where is Martin Army Community Hospital located?

Martin Army Community Hospital is located at 6069 Walkers Ln Tmc 12 Camp Rudder, Eglin Afb, FL 32542. The listed phone number is (850) 882-1170.

What is Martin Army Community Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient, with taxonomy code 261QM1100X.

When was this NPI record last updated?

The NPPES record for Martin Army Community Hospital was last updated on January 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.