USADC FT. BENNING REC STA
NPI 1972707172
Clinic/Center - Military/U.S. Coast Guard Outpatient in Fort Benning, GA

Active since June 12, 2007
3020 SAND HILL, 11TH AIRBORNE DIVISION ROAD, FORT BENNING, GA 31905(706) 544-8994 Get Directions Write a Review

NPPES record last updated: October 5, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Usadc Ft. Benning Rec Sta NPPES

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

USADC FT. BENNING REC STA (NPI 1972707172) is a healthcare organization registered as a military/u.s. coast guard outpatient in Fort Benning, Georgia and active in the NPI registry since June 2007. The organization lists Kertredia Davis, Ubo Manager, as its authorized official.

NPPES Registry Identity

NPI1972707172
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business NameMARTIN ARMY COMMUNITY HOSPITAL
Location Address3020 SAND HILL, 11TH AIRBORNE DIVISION ROADFort Benning, GA 31905
Mailing Address6600 Van Aalst Blvd Bldg 9250, Attn Mcxb-ppFort Benning, GA 31905-2102 · (762) 408-2273
Organization SubpartYes
Authorized OfficialKertredia DavisUbo Manager · (762) 408-0007
Enumeration DateJune 12, 2007
Last NPPES UpdateOctober 5, 2020
NPPES CertifiedOctober 5, 2020
NPI 1972707172 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.
3020 SAND HILL, 11TH AIRBORNE DIVISION ROAD, Fort Benning, GA 31905

Other Names 1

Doing Business AsUsadc Ft. Benning Rec Sta

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 1972707172. It was assigned to this organization in the NPPES registry on June 12, 2007. The provider is doing business as Usadc Ft. Benning Rec Sta.

Where is Martin Army Community Hospital located?

Martin Army Community Hospital is located at 3020 Sand Hill, 11th Airborne Division Road, Fort Benning, GA 31905. The listed phone number is (706) 544-8994.

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 October 5, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.